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Advanced Radiology, Inc.

Company Details

Name: Advanced Radiology, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 04 Jun 1999 (26 years ago)
Identification Number: 000106744
ZIP code: 02864
County: Providence County
Principal Address: 525 BROAD STREET, CUMBERLAND, RI, 02864, USA
Purpose: TO ENGAGE IN THE BUSINESS OF RADIOLOGICAL AND OTHER MEDICALSERVICES.

Industry & Business Activity

NAICS

621512 Diagnostic Imaging Centers

This U.S. industry comprises establishments known as diagnostic imaging centers primarily engaged in producing images of the patient generally on referral from a health practitioner. Learn more at the U.S. Census Bureau

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780638494 2006-05-19 2020-08-22 525 BROAD ST, CUMBERLAND, RI, 028646919, US 525 BROAD ST, CUMBERLAND, RI, 028646919, US

Contacts

Phone +1 401-727-4600
Fax 4017274690

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 7006349
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADVANCED RADIOLOGY 401(K) PLAN 2023 050505603 2024-06-19 ADVANCED RADIOLOGY, INC. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621510
Sponsor’s telephone number 4017274600
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Signature of

Role Plan administrator
Date 2024-06-19
Name of individual signing KRISHANU GUPTA
Valid signature Filed with authorized/valid electronic signature
ADVANCED RADIOLOGY 401(K) PLAN 2022 050505603 2023-05-15 ADVANCED RADIOLOGY, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621510
Sponsor’s telephone number 4017274600
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Signature of

Role Plan administrator
Date 2023-05-15
Name of individual signing KRISHANU GUPTA
Valid signature Filed with authorized/valid electronic signature
ADVANCED RADIOLOGY 401(K) PLAN 2021 050505603 2022-09-08 ADVANCED RADIOLOGY, INC. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621510
Sponsor’s telephone number 4017274600
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Signature of

Role Plan administrator
Date 2022-09-08
Name of individual signing KRISHANU GUPTA
Valid signature Filed with authorized/valid electronic signature
ADVANCED RADIOLOGY 401(K) PLAN 2020 050505603 2021-04-28 ADVANCED RADIOLOGY, INC. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621510
Sponsor’s telephone number 4017274600
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Signature of

Role Plan administrator
Date 2021-04-28
Name of individual signing KRISHANU GUPTA
Valid signature Filed with authorized/valid electronic signature
ADVANCED RADIOLOGY 401(K) PLAN 2019 050505603 2020-05-28 ADVANCED RADIOLOGY, INC. 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621510
Sponsor’s telephone number 4017274600
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Signature of

Role Plan administrator
Date 2020-05-28
Name of individual signing KRISHANU GUPTA
Valid signature Filed with authorized/valid electronic signature
ADVANCED RADIOLOGY 401(K) PLAN 2018 050505603 2019-07-17 ADVANCED RADIOLOGY, INC. 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621510
Sponsor’s telephone number 4017274600
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Signature of

Role Plan administrator
Date 2019-07-17
Name of individual signing KRISHANU GUPTA
Valid signature Filed with authorized/valid electronic signature
ADVANCED RADIOLOGY 401(K) PLAN 2017 050505603 2018-06-14 ADVANCED RADIOLOGY, INC. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621510
Sponsor’s telephone number 4017274600
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Signature of

Role Plan administrator
Date 2018-06-14
Name of individual signing KRISHANU GUPTA
Valid signature Filed with authorized/valid electronic signature
ADVANCED RADIOLOGY 401(K) PLAN 2016 050505603 2017-07-05 ADVANCED RADIOLOGY, INC. 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621510
Sponsor’s telephone number 4017274600
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Signature of

Role Plan administrator
Date 2017-07-05
Name of individual signing KRISHANU GUPTA
Valid signature Filed with authorized/valid electronic signature
ADVANCED RADIOLOGY 401(K) PLAN 2015 050505603 2016-06-13 ADVANCED RADIOLOGY, INC. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621510
Sponsor’s telephone number 4017274600
Plan sponsor’s address 525 BROAD STREET, CUMBERLAND, RI, 02864

Signature of

Role Plan administrator
Date 2016-06-13
Name of individual signing KRISHANU GUPTA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ROMAN A. KLUFAS, MD Agent 525 BROAD STREET, CUMBERLAND, RI, 02864, USA

PRESIDENT

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

Filings

Number Name File Date
202447654910 Annual Report 2024-03-01
202328870370 Annual Report 2023-02-20
202211700290 Annual Report 2022-02-27
202190409010 Annual Report 2021-02-08
202036017650 Annual Report 2020-03-08
201988174530 Annual Report 2019-03-06
201859417960 Annual Report 2018-02-28
201737279260 Annual Report 2017-03-03
201693292130 Annual Report 2016-02-28
201557900980 Annual Report 2015-03-22

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2834288402 2021-02-04 0165 PPS 525 Broad St Unit 202, Cumberland, RI, 02864-6919
Loan Status Date 2021-09-24
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 590145
Loan Approval Amount (current) 590145
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 43
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 593265.49
Forgiveness Paid Date 2021-08-18
9879417305 2020-05-03 0165 PPP 525 BROAD ST UNIT 202, 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) 590140
Loan Approval Amount (current) 590140
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 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 Unanswered
Veteran Unanswered
Forgiveness Amount 594602.43
Forgiveness Paid Date 2021-02-05

Date of last update: 10 Apr 2025

Sources: Rhode Island Department of State