Mdri LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MDRI LLC

Practice address

1239 Hartford Ave Ste 3
Johnston, RI 02919-7137

Phone

(401) 398-0288

NPI assigned

Apr 4, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Desiree Coffey Coffey

Title

Manager

Phone

(401) 398-0288

Specialties & licenses 1

Addresses

Other names 1

• Johnston Urgent Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarena Balon, PA

  • Physician Assistant
  • Johnston, RI
  • NPI 1114657335
  NPD
• Marcel Abel Bavoux, D.O.

  • Internal Medicine Physician
  • Johnston, RI
  • NPI 1508990557
  NPD
• Amy G. Lafontaine, P.A.

  • Physician Assistant
  • North Providence, RI
  • NPI 1659346104
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1801680004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 S COUNTY TRL STE 431",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181679",
            "telephone_number": "401-398-0288",
            "fax_number": "401-398-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 HARTFORD AVE STE 3",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029197137",
            "telephone_number": "401-398-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "DESIREE COFFEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "401-398-0288"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnston Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Patrick McGuire, MS
• Susan Patricia McKenna, NP
• McMillen Orthodontics LTD
• Fredrick H McMillen, DDS
• Lynsey McNamara, MA
• Lori Elizabeth Medeiros, MSW, LCSW, LCDP
• Medical Homes of Rhode Island Inc
• Gillian Kathleen Melikian, PA-C
• Lisa A Mellow, P.T.
• Sarah R Memoli, M.A, LMHC

• Urgent Care Clinic/Center in Johnston, RI
• Providers in Johnston, RI by specialty
• Urgent Care Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.