| Entity Name: | CONCIERGE RADIOLOGY GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Jan 2022 (3 years ago) |
| Document Number: | L22000019555 |
| FEI/EIN Number | 87-4252429 |
| Address: | 520 WEST AVENUE, 705, MIAMI BEACH, FL 33139 |
| Mail Address: | 520 WEST AVENUE, 705, MIAMI BEACH, FL 33139 |
| ZIP code: | 33139 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295487593 | 2022-01-19 | 2022-07-07 | 520 WEST AVE APT 705, MIAMI BEACH, FL, 331396797, US | 520 WEST AVE APT 705, MIAMI BEACH, FL, 331396797, US | |||||||||||||||||
|
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| Phone | +1 516-509-3755 |
Authorized person
| Name | GUSTAVO PANTOL |
| Role | EMPLOYEE |
| Phone | 5165093755 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | No |
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PARLADE, JAIME | Agent | 5975 SUNSET DRVE, 802, SOUTH MIAMI, FL 33143 |
| Name | Role |
|---|---|
| GPRAD CORP | Manager |
| ROBERTO FOURZALI P.A. | Manager |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2023-01-17 |
| Florida Limited Liability | 2022-01-05 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
