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Lucas Medical LLC

Company Details

Name: Lucas Medical LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 30 Sep 2024 (8 months ago)
Identification Number: 001779773
ZIP code: 02806
County: Bristol County
Principal Address: Google Maps Logo 73 SOWAMS RD, BARRINGTON, RI, 02806, USA

Agent

Name Role Address
NORTHWEST REGISTERED AGENT LLC Agent 700 NARRAGANSETT PARK DR STE 100, PAWTUCKET, RI, 02861, USA

National Provider Identifier

NPI Number:
1134947997
Certification Date:
2024-10-01

Authorized Person:

Name:
DR. BRIAN MIKOLASKO
Role:
PRESIDENT, CHIEF MEDICAL OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6263802395

Filings

Number Name File Date
202460382670 Articles of Organization 2024-09-30
202567631770 Statement of Change of Registered/Resident Agent Office 2025-03-20

Date of last update: 16 May 2025

Sources: Rhode Island Department of State