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  5. Toll Gate Radiology II, LLC

Toll Gate Radiology II, LLC

Company Details

Name: Toll Gate Radiology II, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 07 Oct 2010 (14 years ago)
Identification Number: 000553765
ZIP code: 02886
County: Kent County
Principal Address: 215 TOLL GATE ROAD, WARWICK, RI, 02886, USA
Mailing Address: 50 MILK ST 15TH FLOOR, BOSTON, MA, 02109, USA
Purpose: RADIOLOGY PRACTICE
NAICS: 621512 - Diagnostic Imaging Centers

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609186667 2010-10-08 2010-10-12 215 TOLL GATE RD, STE 109, WARWICK, RI, 028864458, US 300 TOLL GATE RD, STE 101A, 102, WARWICK, RI, 028864416, US

Contacts
Phone +1 401-738-3100
Fax 4017388505

Authorized person
Name DR. ANTHONY G BRUZZESE
Role PARTNER/RADIOLOGIST
Phone 4017383100

Taxonomy
Taxonomy Code 2085B0100X - Body Imaging Physician
Is Primary No
Taxonomy Code 2085D0003X - Diagnostic Neuroimaging (Radiology) Physician
Is Primary No
Taxonomy Code 2085N0700X - Neuroradiology Physician
Is Primary No
Taxonomy Code 2085N0904X - Nuclear Radiology Physician
Is Primary No
Taxonomy Code 2085P0229X - Pediatric Radiology Physician
Is Primary No
Taxonomy Code 2085R0202X - Diagnostic Radiology Physician
Is Primary Yes
Taxonomy Code 2085R0204X - Vascular & Interventional Radiology Physician
Is Primary No
Taxonomy Code 2085U0001X - Diagnostic Ultrasound Physician
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TOLL GATE RADIOLOGY II, LLC PROFIT SHARING PLAN 2022 273636322 2023-12-22 TOLL GATE RADIOLOGY II, LLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621510
Sponsor’s telephone number 4017321860
Plan sponsor’s address 300 TOLL GATE ROAD, WARWICK, RI, 02886
TOLL GATE RADIOLOGY II, LLC PROFIT SHARING PLAN 2021 273636322 2023-03-02 TOLL GATE RADIOLOGY II, LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621510
Sponsor’s telephone number 4017321860
Plan sponsor’s address 300 TOLL GATE ROAD, WARWICK, RI, 02886
TOLL GATE RADIOLOGY II, LLC PROFIT SHARING PLAN 2020 273636322 2022-06-14 TOLL GATE RADIOLOGY II, LLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621510
Sponsor’s telephone number 4017321860
Plan sponsor’s address 300 TOLL GATE ROAD, WARWICK, RI, 02886
TOLL GATE RADIOLOGY II, LLC PROFIT SHARING PLAN 2019 273636322 2021-07-12 TOLL GATE RADIOLOGY II, LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621510
Sponsor’s telephone number 4017321860
Plan sponsor’s address 300 TOLL GATE ROAD, WARWICK, RI, 02886
TOLL GATE RADIOLOGY II, LLC PROFIT SHARING PLAN 2018 273636322 2020-02-25 TOLL GATE RADIOLOGY II, LLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621510
Sponsor’s telephone number 4017321860
Plan sponsor’s address 300 TOLL GATE ROAD, WARWICK, RI, 02886
TOLL GATE RADIOLOGY II, LLC PROFIT SHARING PLAN 2017 273636322 2018-11-28 TOLL GATE RADIOLOGY II, LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621510
Sponsor’s telephone number 4017321860
Plan sponsor’s address 300 TOLL GATE ROAD, WARWICK, RI, 02886
TOLL GATE RADIOLOGY II, LLC PROFIT SHARING PLAN 2016 273636322 2018-01-04 TOLL GATE RADIOLOGY II, LLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621510
Sponsor’s telephone number 4017321860
Plan sponsor’s address 300 TOLL GATE ROAD, WARWICK, RI, 02886
TOLL GATE RADIOLOGY II, LLC PROFIT SHARING PLAN 2015 273636322 2016-12-20 TOLL GATE RADIOLOGY II, LLC 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621510
Sponsor’s telephone number 4017321860
Plan sponsor’s address 300 TOLL GATE ROAD, WARWICK, RI, 02886
TOLL GATE RADIOLOGY II, LLC PROFIT SHARING PLAN 2014 273636322 2016-01-11 TOLL GATE RADIOLOGY II, LLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621510
Sponsor’s telephone number 4017321860
Plan sponsor’s address 300 TOLL GATE ROAD, WARWICK, RI, 02886
TOLL GATE RADIOLOGY II, LLC PROFIT SHARING PLAN 2013 273636322 2014-11-24 TOLL GATE RADIOLOGY II, LLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621510
Sponsor’s telephone number 4017321860
Plan sponsor’s address 300 TOLL GATE ROAD, WARWICK, RI, 02886

Signature of
Role Plan administrator
Date 2014-11-24
Name of individual signing ANTHONY BRUZZESE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/05/15/20140515145019P030397934289001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621510
Sponsor’s telephone number 4017321860
Plan sponsor’s address 300 TOLL GATE ROAD, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 273636322
Plan administrator’s name TOLL GATE RADIOLOGY II, LLC.
Plan administrator’s address 300 TOLL GATE ROAD, WARWICK, RI, 02886
Administrator’s telephone number 4017321860

Signature of
Role Plan administrator
Date 2014-05-15
Name of individual signing ANTHONY BRUZZESE
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621510
Sponsor’s telephone number 4017321860
Plan sponsor’s address 300 TOLL GATE ROAD, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 273636322
Plan administrator’s name TOLL GATE RADIOLOGY, INC.
Plan administrator’s address 300 TOLL GATE ROAD, WARWICK, RI, 02886
Administrator’s telephone number 4017321860

Signature of
Role Plan administrator
Date 2014-04-10
Name of individual signing ANTHONY BRUZZESE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/05/20130605071623P030003609892001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621510
Sponsor’s telephone number 4017321860
Plan sponsor’s address 300 TOLL GATE ROAD, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 273636322
Plan administrator’s name TOLL GATE RADIOLOGY, INC.
Plan administrator’s address 300 TOLL GATE ROAD, WARWICK, RI, 02886
Administrator’s telephone number 4017321860

Signature of
Role Plan administrator
Date 2013-06-05
Name of individual signing ANTHONY BRUZZESE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/12/20120712102113P030001905010001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1974-10-01
Business code 621510
Sponsor’s telephone number 4017321860
Plan sponsor’s address 300 TOLL GATE ROAD, WARWICK, RI, 02886

Plan administrator’s name and address
Administrator’s EIN 273636322
Plan administrator’s name TOLL GATE RADIOLOGY, INC.
Plan administrator’s address 300 TOLL GATE ROAD, WARWICK, RI, 02886
Administrator’s telephone number 4017321860

Signature of
Role Plan administrator
Date 2012-07-12
Name of individual signing ANTHONY BRUZZESE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
FONNIE SODERSTROM Agent 215 TOLL GATE ROAD, WARWICK, RI, 02886, USA

Filings

Number Name File Date
202451610270 Annual Report 2024-04-19
202326208760 Annual Report 2023-01-19
202211766070 Annual Report 2022-02-28
202107240550 Annual Report 2021-12-20
202106012400 Revocation Notice For Failure to File An Annual Report 2021-12-03
202194995320 Annual Report 2021-03-26
202194106230 Revocation Notice For Failure to File An Annual Report 2021-03-16
202044419200 Annual Report 2020-07-09
202044418960 Statement of Change of Registered/Resident Agent 2020-07-09
201920928760 Statement of Change of Registered/Resident Agent 2019-09-20

Related by officers

No related officers

Related by address

215 TOLL GATE ROAD, WARWICK, RI, 02886, USA

Toll Gate Radiology, Inc. Vincent I. MacAndrew, Jr., M.D., Inc. Radiologic Leasing Associates, LLC Rhode Island Sleep Diagnostics, Inc. TGR Warwick, LLC

Date of last update: 14 Oct 2024

Sources: Rhode Island Department of State

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