| Name: | NeuroLogic Center for Epilepsy, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 07 Apr 2023 (2 years ago) |
| Identification Number: | 001755733 |
| ZIP code: | 02806 |
| County: | Bristol County |
| Principal Address: | 18 MAPLE AVENUE, BARRINGTON, RI, 02806, USA |
| Purpose: | TO OPERATE A MEDICAL PRACTICE |
NAICS
621111 Offices of Physicians (except Mental Health Specialists)This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831975309 | 2023-08-31 | 2024-06-10 | 375 WAMPANOAG TRL STE 405B, RIVERSIDE, RI, 029152232, US | 375 WAMPANOAG TRL STE 405B, EAST PROVIDENCE, RI, 02915, US | |||||||||||||||
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| Phone | +1 401-781-2400 |
| Fax | 4015269517 |
Authorized person
| Name | PREETI GUPTA |
| Role | MEDICAL DIRECTOR |
| Phone | 4017812400 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SUSAN LEACH DEBLASIO, ESQ. | Agent | ADLER POLLOCK & SHEEHAN P.C. 1 CITIZENS PLAZA 8TH FLOOR, PROVIDENCE, RI, 02903, USA |
| Number | Name | File Date |
|---|---|---|
| 202454947940 | Annual Report | 2024-05-31 |
| 202332547770 | Articles of Organization | 2023-04-07 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State
