| Entity Name: | QMG, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 Sep 2017 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 13 Nov 2018 (6 years ago) |
| Document Number: | L17000192783 |
| FEI/EIN Number | 65-0730095 |
| Mail Address: | 210 S FEDERAL HWY, #402, HOLLYWOOD, FL 33020 |
| Address: | 9050 Pines Blvd., #170, Pembroke Pines, FL 33024 |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790079309 | 2011-06-01 | 2021-11-02 | 210 S FEDERAL HIGHWAY, SUITE 401, HOLLYWOOD, FL, 330206811, US | 210 S FEDERAL HIGHWAY, SUITE 401, HOLLYWOOD, FL, 330206811, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 954-598-9900 |
| Fax | 9549292001 |
Authorized person
| Name | MARK GRNJA |
| Role | CEO |
| Phone | 9546127502 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 2085B0100X - Body Imaging Physician |
| Is Primary | No |
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | No |
| Taxonomy Code | 2085U0001X - Diagnostic Ultrasound Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 272884202 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Smith CPA's & Associates | Agent | 4581 Weston Rd, Suite 367, Weston, FL 33331 |
| Name | Role | Address |
|---|---|---|
| GRNJA, VLADIMIR | Authorized Member | 12813 Big Bear Blf, Boynton Beach, FL 33473 |
| Name | Role | Address |
|---|---|---|
| GRNJA, MARK | Manager | 210 S FEDERAL HWY, #402 HOLLYWOOD, FL 33020 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000140734 | INSITE RADIOLOGY | ACTIVE | 2024-11-18 | 2029-12-31 | No data | 6262 SUNSET DR. #102, MIAMI, FL, 33143 |
| G24000140737 | INSITE RADIOLOGY | ACTIVE | 2024-11-18 | 2029-12-31 | No data | 1566 KINGSLEY AVE, ORANGE PARK, FL, 32073 |
| G24000034634 | INSITE RADIOLOGY | ACTIVE | 2024-03-07 | 2029-12-31 | No data | 10618 DEERWOOD PARK BLVD #4, JACKSONVILLE, FL, 32256 |
| G24000031641 | INSITE RADIOLOGY | ACTIVE | 2024-02-29 | 2029-12-31 | No data | 1740 EDGEWOOD AVE W. STE 200, JACKSONVILLE, FL, 32208 |
| G23000067090 | PINES RADIOLOGY CENTER | ACTIVE | 2023-05-31 | 2028-12-31 | No data | 210 S FEDERAL HIGHWAY, STE 403, HOLLYWOOD, FL, 33020 |
| G23000067093 | 3T RADIOLOGY & RESEARCH | ACTIVE | 2023-05-31 | 2028-12-31 | No data | 210 S FEDERAL HIGHWAY, STE 403, HOLLYWOOD, FL, 33020 |
| G21000131413 | QMG DBA INSITE RADIOLOGY | ACTIVE | 2021-09-30 | 2026-12-31 | No data | 210 S FEDERAL HWY, 2ND FLOOR, HOLLYWOOD, FL, 33020 |
| G21000100190 | QMG, LLC | ACTIVE | 2021-08-02 | 2026-12-31 | No data | 210 S FEDERAL HWY, SUITE 402, HOLLYWOOD, FL, 33020 |
| G20000120069 | INSITE RADIOLOGY | ACTIVE | 2020-09-15 | 2025-12-31 | No data | 210 SOUTH FEDERAL HIGHWAY, SUITE 402, HOLLYWOOD, FL, 33020 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-05 | 9050 Pines Blvd., #170, Pembroke Pines, FL 33024 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-05 | 4581 Weston Rd, Suite 367, Weston, FL 33331 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-05 | Smith CPA's & Associates | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-13 | 9050 Pines Blvd., #170, Pembroke Pines, FL 33024 | No data |
| REINSTATEMENT | 2018-11-13 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CONVERSION | 2017-09-15 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P96000083245. CONVERSION NUMBER 300000174423 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-04-18 |
| ANNUAL REPORT | 2021-01-20 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-08 |
| REINSTATEMENT | 2018-11-13 |
| Florida Limited Liability | 2017-09-15 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
