Name: | Cranial Technologies, Inc. |
Jurisdiction: | Rhode Island |
Entity type: | Foreign Corporation |
Status: | Activ |
Date of Organization in Rhode Island: | 17 Jul 2023 (2 years ago) |
Identification Number: | 001760335 |
Place of Formation: | ARIZONA |
Principal Address: | 1405 W AUTO DRIVE FL 2, TEMPE, AZ, 85284, USA |
Purpose: | MEDICAL DEVICE MANUFACTURING & SERVICE |
NAICS
339113 Surgical Appliance and Supplies ManufacturingThis U.S. industry comprises establishments primarily engaged in manufacturing surgical appliances and supplies. Examples of products made by these establishments are orthopedic devices, prosthetic appliances, surgical dressings, crutches, surgical sutures, personal industrial safety devices (except protective eyewear), hospital beds, and operating room tables. Learn more at the U.S. Census Bureau
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1104514215 | 2023-04-26 | 2023-04-26 | 1405 W AUTO DR FL 2, TEMPE, AZ, 852841227, US | 235 GEORGIA AVE STE 101, PROVIDENCE, RI, 029054516, US | |||||||||||||||||||
|
Phone | +1 844-447-5894 |
Phone | +1 844-447-5895 |
Authorized person
Name | OUMOU K BAH |
Role | COMPLIANCE & MEDICAID SPECIALIST |
Phone | 6023938188 |
Taxonomy
Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
Is Primary | No |
Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
Name | Role | Address |
---|---|---|
DEBRA JAMES | SECRETARY | 1405 W AUTO DRIVE FL 2 TEMPE, AZ 85284 USA |
Name | Role | Address |
---|---|---|
DEBRA JAMES | CEO | 1405 W AUTO DRIVE FL 2 TEMPE, AZ 85284 USA |
Name | Role | Address |
---|---|---|
GREGORY THEODORAKIS | CFO | 1405 W AUTO DRIVE FL 2 TEMPE, AZ 85284 USA |
Name | Role | Address |
---|---|---|
ROBERT GLASS | DIRECTOR | 1405 W AUTO DRIVE FL 2 TEMPE, AZ 85284 USA |
JACK SASSON | DIRECTOR | 1405 W AUTO DRIVE FL 2 TEMPE, AZ 85284 USA |
ERIC SONDAG | DIRECTOR | 1405 W AUTO DRIVE FL 2 TEMPE, AZ 85284 USA |
DEBRA JAMES | DIRECTOR | 1405 W AUTO DRIVE FL 2 TEMPE, AZ 85284 USA |
HENRI DOMANGE | DIRECTOR | 1405 W AUTO DRIVE FL 2 TEMPE, AZ 85284 USA |
Number | Name | File Date |
---|---|---|
202455200350 | Annual Report | 2024-05-31 |
202339504000 | Application for Certificate of Authority | 2023-07-17 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State