| Name: | Lux Healthcare, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 26 Apr 2021 (4 years ago) |
| Date of Dissolution: | 11 Oct 2022 (2 years ago) |
| Date of Status Change: | 11 Oct 2022 (2 years ago) |
| Identification Number: | 001722864 |
| ZIP code: | 02865 |
| County: | Providence County |
| Principal Address: | 132 OLD RIVER ROAD, LINCOLN, RI, 02865, USA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710553219 | 2021-06-03 | 2021-06-03 | PO BOX 68, OSCEOLA MILLS, PA, 166660068, US | 132 OLD RIVER RD, LINCOLN, RI, 028651161, US | |||||||||||||||
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| Phone | +1 814-339-7101 |
| Fax | 8143396165 |
Authorized person
| Name | KUMAIT JAROJE |
| Role | OWNER |
| Phone | 8143397101 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOSHUA E. CARLIN | Agent | ONE TURKS HEAD PLACE SUITE 550, PROVIDENCE, RI, 02903, USA |
| Number | Name | File Date |
|---|---|---|
| 202223675430 | Revocation Certificate For Failure to File the Annual Report for the Year | 2022-10-11 |
| 202219730550 | Revocation Notice For Failure to File An Annual Report | 2022-06-22 |
| 202195976760 | Articles of Organization | 2021-04-26 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
