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Open MRI of New England, Inc.

Company Details

Name: Open MRI of New England, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 20 Oct 1997 (27 years ago)
Identification Number: 000097276
ZIP code: 02864
County: Providence County
Principal Address: 525 BROAD ST., CUMBERLAND, RI, 02864, USA
Purpose: OUTPATIENT MAGNETIC RESONANCE IMAGING SERVICES
Fictitious names: UNIVERSITY RADIOLOGY INC. (trading name, 2022-10-04 - )
OPEN MRI OF RHODE ISLAND (trading name, 2001-05-03 - )
OPEN-SIDED MRI CENTER (trading name, 2000-01-07 - )
OPEN-SIDED MRI OF NEW ENGLAND (trading name, 2000-01-07 - )
OPEN-SIDED MRI OF RHODE ISLAND (trading name, 2000-01-07 - )

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053365734 2006-05-19 2020-08-22 525 BROAD ST, CUMBERLAND, RI, 028646919, US 525 BROAD ST, CUMBERLAND, RI, 028646919, US

Contacts

Phone +1 401-725-6736
Fax 4017262536

Authorized person

Name JOHN S. TKACH
Role ADMINISTRATOR
Phone 4017256736

Taxonomy

Taxonomy Code 2085R0202X - Diagnostic Radiology Physician
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number OM25023
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OPEN MRI OF NEW ENGLAND, INC. 401K PLAN 2023 050495348 2024-06-06 OPEN MRI OF NEW ENGLAND, INC. 76
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621510
Sponsor’s telephone number 4017256736
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Signature of

Role Plan administrator
Date 2024-06-06
Name of individual signing JOHN TKACH
Valid signature Filed with authorized/valid electronic signature
OPEN MRI OF NEW ENGLAND, INC. 401K PLAN 2022 050495348 2023-09-26 OPEN MRI OF NEW ENGLAND, INC. 59
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621510
Sponsor’s telephone number 4017256736
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Signature of

Role Plan administrator
Date 2023-09-26
Name of individual signing JOHN TKACH
Valid signature Filed with authorized/valid electronic signature
OPEN MRI OF NEW ENGLAND, INC. 401K PLAN 2021 050495348 2022-06-13 OPEN MRI OF NEW ENGLAND, INC. 36
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621510
Sponsor’s telephone number 4017256736
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Signature of

Role Plan administrator
Date 2022-06-13
Name of individual signing JOHN TKACH
Valid signature Filed with authorized/valid electronic signature
OPEN MRI OF NEW ENGLAND, INC. 401K PLAN 2020 050495348 2021-09-16 OPEN MRI OF NEW ENGLAND, INC. 37
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621510
Sponsor’s telephone number 4017256736
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Signature of

Role Plan administrator
Date 2021-09-16
Name of individual signing JOHN TKACH
Valid signature Filed with authorized/valid electronic signature
OPEN MRI OF NEW ENGLAND, INC. 401K PLAN 2019 050495348 2020-10-05 OPEN MRI OF NEW ENGLAND, INC. 37
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621510
Sponsor’s telephone number 4017256736
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Signature of

Role Plan administrator
Date 2020-10-05
Name of individual signing JOHN TKACH
Valid signature Filed with authorized/valid electronic signature
OPEN MRI OF NEW ENGLAND, INC. 401K PLAN 2018 050495348 2019-08-26 OPEN MRI OF NEW ENGLAND, INC. 52
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621510
Sponsor’s telephone number 4017256736
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Signature of

Role Plan administrator
Date 2019-08-26
Name of individual signing JOHN TKACH
Valid signature Filed with authorized/valid electronic signature
OPEN MRI OF NEW ENGLAND, INC. 401K PLAN 2017 050495348 2018-09-25 OPEN MRI OF NEW ENGLAND, INC. 48
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621510
Sponsor’s telephone number 4017256736
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Signature of

Role Plan administrator
Date 2018-09-25
Name of individual signing JOHN TKACH
Valid signature Filed with authorized/valid electronic signature
OPEN MRI OF NEW ENGLAND, INC. 401K PLAN 2016 050495348 2017-09-29 OPEN MRI OF NEW ENGLAND, INC. 53
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621510
Sponsor’s telephone number 4017256736
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Signature of

Role Plan administrator
Date 2017-09-29
Name of individual signing JOHN TKACH
Valid signature Filed with authorized/valid electronic signature
OPEN MRI OF NEW ENGLAND, INC. 401K PLAN 2015 050495348 2016-07-21 OPEN MRI OF NEW ENGLAND, INC. 54
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621510
Sponsor’s telephone number 4017256736
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Signature of

Role Plan administrator
Date 2016-07-21
Name of individual signing JOHN TKACH
Valid signature Filed with authorized/valid electronic signature
OPEN MRI OF NEW ENGLAND, INC. 401K PLAN 2014 050495348 2015-07-06 OPEN MRI OF NEW ENGLAND, INC. 57
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621510
Sponsor’s telephone number 4017256736
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Signature of

Role Plan administrator
Date 2015-07-06
Name of individual signing JOHN TKACH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/08/29/20140829083001P040105796183001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621510
Sponsor’s telephone number 4017256736
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Signature of

Role Plan administrator
Date 2014-08-29
Name of individual signing JOHN TKACH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/09/20130709145259P040037769687001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621510
Sponsor’s telephone number 4017256736
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Signature of

Role Plan administrator
Date 2013-07-09
Name of individual signing JOHN TKACH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-09
Name of individual signing JOHN TKACH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/12/20120712114633P030002040258001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621510
Sponsor’s telephone number 4017256736
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Plan administrator’s name and address

Administrator’s EIN 050495348
Plan administrator’s name OPEN MRI OF NEW ENGLAND, INC.
Plan administrator’s address 525 BROAD STREET, CUMBERLAND, RI, 02864
Administrator’s telephone number 4017256736

Signature of

Role Plan administrator
Date 2012-07-12
Name of individual signing JOHN TKACH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-12
Name of individual signing JOHN TKACH
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621510
Sponsor’s telephone number 4017256736
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Plan administrator’s name and address

Administrator’s EIN 050495348
Plan administrator’s name OPEN MRI OF NEW ENGLAND, INC.
Plan administrator’s address 525 BROAD STREET, CUMBERLAND, RI, 02864
Administrator’s telephone number 4017256736
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/06/30/20110630114959P040397551104001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621510
Sponsor’s telephone number 4017256736
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Plan administrator’s name and address

Administrator’s EIN 050495348
Plan administrator’s name OPEN MRI OF NEW ENGLAND, INC.
Plan administrator’s address 525 BROAD STREET, CUMBERLAND, RI, 02864
Administrator’s telephone number 4017256736

Signature of

Role Plan administrator
Date 2011-06-30
Name of individual signing JOHN TKACH
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621510
Sponsor’s telephone number 4017256736
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Plan administrator’s name and address

Administrator’s EIN 050495348
Plan administrator’s name OPEN MRI OF NEW ENGLAND, INC.
Plan administrator’s address 525 BROAD STREET, CUMBERLAND, RI, 02864
Administrator’s telephone number 4017256736

Signature of

Role Plan administrator
Date 2010-07-02
Name of individual signing JOHN TKACH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-02
Name of individual signing JOHN TKACH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/18/20100718134843P030129475778001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621510
Sponsor’s telephone number 4017256736
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Plan administrator’s name and address

Administrator’s EIN 050495348
Plan administrator’s name OPEN MRI OF NEW ENGLAND, INC.
Plan administrator’s address 525 BROAD STREET, CUMBERLAND, RI, 02864
Administrator’s telephone number 4017256736

Signature of

Role Plan administrator
Date 2010-07-02
Name of individual signing JOHN TKACH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-02
Name of individual signing JOHN TKACH
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621510
Sponsor’s telephone number 4017256736
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Plan administrator’s name and address

Administrator’s EIN 050495348
Plan administrator’s name OPEN MRI OF NEW ENGLAND, INC.
Plan administrator’s address 525 BROAD STREET, CUMBERLAND, RI, 02864
Administrator’s telephone number 4017256736

Agent

Name Role Address
MICHAEL KLUFAS Agent 525 BROAD STREET SUITE L3-L4, CUMBERLAND, RI, 02864, USA

VICE PRESIDENT

Name Role Address
MICHAEL E. KLUFAS MD VICE PRESIDENT 124 TOBIE AVE. PAWTUCKET, RI 02861 USA

PRESIDENT

Name Role Address
ROMAN A KLUFAS MD PRESIDENT 50 GALEN COURT SEEKONK, MA 02771 USA

DIRECTOR

Name Role Address
MICHAEL E. KLUFAS MD DIRECTOR 124 TOBIE AVE. PAWTUCKET, RI 02864 USA
ROMAN A. KLUFAS MD DIRECTOR 50 GALEN CT. SEEKONK, MA 02771 USA

Filings

Number Name File Date
202451591290 Annual Report 2024-04-19
202328618080 Annual Report 2023-02-16
202223159930 Fictitious Business Name Statement 2022-10-04
202210055670 Annual Report 2022-02-10
202186947500 Annual Report 2021-01-18
202032132230 Annual Report 2020-01-13
201918728130 Annual Report 2019-09-10
201907010590 Revocation Notice For Failure to File An Annual Report 2019-07-24
201859224450 Annual Report 2018-02-27
201729424940 Annual Report 2017-01-03

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5009537707 2020-05-03 0165 PPP 525 BROAD ST UNIT L2, CUMBERLAND, RI, 02864-6919
Loan Status Date 2021-03-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 547413
Loan Approval Amount (current) 547413
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description New Business or 2 years or less
Project Address CUMBERLAND, PROVIDENCE, RI, 02864-6919
Project Congressional District RI-01
Number of Employees 36
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 551492.35
Forgiveness Paid Date 2021-02-10
2986148405 2021-02-04 0165 PPS 525 Broad St Unit L2, Cumberland, RI, 02864-6919
Loan Status Date 2021-10-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 547412
Loan Approval Amount (current) 547412
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Cumberland, PROVIDENCE, RI, 02864-6919
Project Congressional District RI-01
Number of Employees 38
NAICS code 621512
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 550516.5
Forgiveness Paid Date 2021-09-01

Date of last update: 09 Apr 2025

Sources: Rhode Island Department of State