| Name: | Crossings Surgery Center, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 21 Mar 2022 (3 years ago) |
| Identification Number: | 001737777 |
| ZIP code: | 02886 |
| County: | Kent County |
| Principal Address: | 200 CROSSINGS BLVD. STE. 310, WARWICK, RI, 02886, USA |
| Mailing Address: | 200 CROSSINGS BLVD. SUITE 310, WARWICK, RI, 02886, USA |
| Purpose: | TO OWN AND OPERATE A FREESTANDING AMBULATORY SURGERY CENTER. |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Fictitious names: |
Ortho RI Surgery Center (trading name, 2023-06-30 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154034429 | 2023-01-03 | 2023-01-03 | 200 CROSSINGS BLVD, WARWICK, RI, 028862873, US | 300 CROSSINGS BLVD, WARWICK, RI, 028862878, US | |||||||||||||
|
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| Phone | +1 716-208-1708 |
Authorized person
| Name | PAUL CAVARETTA |
| Role | REVENUE CYCLEY MANAGER |
| Phone | 7162081708 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STEPHEN D. ZUBIAGO, ESQ. | Agent | NIXON PEABODY LLP ONE CITIZENS PLAZA STE. 500, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| J. WINSLOW ALFORD M.D. | MANAGER | 300 CROSSINGS BLVD. WARWICK, RI 02886 USA |
| SCOTT D. ALLEN M.D. | MANAGER | 300 CROSSINGS BLVD. WARWICK, RI 02886 USA |
| DAVID B. BURNS D.O. | MANAGER | ONE HIGH STREET WAKEFIELD, RI 02879 USA |
| ANTHONY DELUISE M.D. | MANAGER | 300 CROSSINGS BLVD. WARWICK, RI 02886 USA |
| NATHAN HOWLETT D.O. | MANAGER | ONE HIGH STREET WAKEFIELD, RI 02879 USA |
| ROALD J. LLADO M.D. | MANAGER | 285 PROMENADE STREET PROVIDENCE, RI 02908 USA |
| IAN A. MADOM M.D. | MANAGER | ONE HIGH STREET WAKEFIELD, RI 02879 USA |
| ROBERT C. MARCHAND M.D. | MANAGER | ONE HIGH STREET WAKEFIELD, RI 02879 USA |
| ANTHONY MECHREFE M.D. | MANAGER | 300 CROSSINGS BLVD. WARWICK, RI 02886 USA |
| SIDNEY P. MIGLIORI M.D. | MANAGER | ONE HIGH STREET WAKEFIELD, RI 02879 USA |
| Number | Name | File Date |
|---|---|---|
| 202454183230 | Annual Report | 2024-05-10 |
| 202338940340 | Fictitious Business Name Statement | 2023-06-30 |
| 202331928390 | Annual Report | 2023-03-29 |
| 202213131650 | Articles of Organization | 2022-03-21 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
