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  5. Open MRI of New England, Inc.

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

Related by officers

MICHAEL E. KLUFAS MD

525 BROAD STREET, LLC

ROMAN A KLUFAS MD

Advanced Radiology, Inc.

Related by address

No related companies by address

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State

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