| Entity Name: | CONNECTICUT ORTHOPAEDIC SPECIALISTS OUTPATIENT SURGICAL CENTER, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Date Formed: | 14 Mar 2013 (Companies founded in March 2013) |
| Business ALEI: | 1099848 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621493 - Freestanding Ambulatory Surgical and Emergency Centers |
| Business address: | 2408 WHITNEY AVE., HAMDEN, CT, 06518, United States |
| Mailing address: | 2408 WHITNEY AVE, HAMDEN, CT, United States, 06518 |
| ZIP code: | 06518 (Companies in New Haven, 06518) |
| County: | New Haven |
| Place of Formation: | CONNECTICUT |
| E-Mail: | Spesapane@ct-ortho.com |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UL4YHWYNHV49 | 2025-03-14 | 84 N MAIN ST BLDG 2, BRANFORD, CT, 06405, 3061, USA | 1000 YALE AVE, WALLINGFORD, CT, 06492, 1838, USA | |||||||||||||||||||||||||||||||||||||||||||||||
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| URL | www.ct-ortho.com |
| Division Name | CONNECTICUT ORTHOPAEDIC SPECIALISTS OUTPATIENT SURGICAL CENT |
| Congressional District | 03 |
| State/Country of Incorporation | CT, USA |
| Activation Date | 2024-03-18 |
| Initial Registration Date | 2023-04-20 |
| Entity Start Date | 2013-03-04 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621493 |
| Product and Service Codes | Q523 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | AMIA DELLAMURA |
| Role | CREDENTIALING COORDINATOR |
| Address | 2408 WHITNEY AVE, HAMDEN, CT, 06518, 3209, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | AMIA DELLAMURA |
| Role | CREDENTIALING COORDINATOR |
| Address | 2408 WHITNEY AVE, HAMDEN, CT, 06518, 3209, USA |
| Past Performance | Information not Available |
|---|
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Susan Bader | Officer | 2408 Whitney Ave, Hamden, CT, 06518-3209, United States | 84 Five Fields Rd, Madison, CT, 06443-2517, United States |
| PATRICK A. RUWE M.D. | Officer | 2408 WHITNEY AVE., HAMDEN, CT, 06518, United States | 19 WATERSIDE ROAD, BRANFORD, CT, 06405, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| ASC.0000339 | Out-Patient Surgical Facility | ACTIVE | CURRENT | 2014-01-30 | 2024-01-01 | 2025-12-31 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012256525 | 2024-03-27 | No data | Annual Report | Annual Report | No data |
| BF-0011303341 | 2023-02-13 | No data | Annual Report | Annual Report | No data |
| BF-0010334026 | 2022-03-21 | No data | Annual Report | Annual Report | 2022 |
| 0007324833 | 2021-05-05 | No data | Annual Report | Annual Report | 2021 |
| 0006855430 | 2020-03-30 | No data | Annual Report | Annual Report | 2020 |
| 0006474115 | 2019-03-18 | No data | Annual Report | Annual Report | 2019 |
| 0006143381 | 2018-03-28 | No data | Annual Report | Annual Report | 2018 |
| 0005793568 | 2017-03-15 | No data | Annual Report | Annual Report | 2017 |
| 0005485723 | 2016-02-11 | No data | Annual Report | Annual Report | 2016 |
| 0005343736 | 2015-06-05 | No data | Annual Report | Annual Report | 2015 |
Date of last update: 04 Nov 2024
Sources: Connecticut's Official State Website
