0001539911-19-000002.txt : 20190913 0001539911-19-000002.hdr.sgml : 20190913 20190913105023 ACCESSION NUMBER: 0001539911-19-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190913 DATE AS OF CHANGE: 20190913 EFFECTIVENESS DATE: 20190913 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MEDIPORTAL LLC CENTRAL INDEX KEY: 0001539911 IRS NUMBER: 452924913 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-348768 FILM NUMBER: 191091770 BUSINESS ADDRESS: STREET 1: 1033 FENWOOD DRIVE 1 CITY: VALLEY STREAM STATE: NY ZIP: 11580 BUSINESS PHONE: (646) 504-6334 MAIL ADDRESS: STREET 1: 1033 FENWOOD DRIVE 1 CITY: VALLEY STREAM STATE: NY ZIP: 11580 D 1 primary_doc.xml X0708 D LIVE 0001539911 MEDIPORTAL LLC 1979 Marcu Avenue Suite 210 Lake Success NY NEW YORK 11042 800-285-9177 NEW YORK None None Limited Liability Company true Anand Prabhu c/o MediPortal, LLC 1979 Marcus Avenue, Suite 210 Lake Success NY NEW YORK 11042 Executive Officer Director Dennis Chan c/o MediPortal, LLC 1979 Marcus Avenue, Suite 210 Lake Success NY NEW YORK 11042 Executive Officer Director Boris Zolotarev c/o MediPortal, LLC 1979 Marcus Avenue, Suite 210 Lake Success NY NEW YORK 11042 Executive Officer Steve Burt c/o MediPortal, LLC 1979 Marcus Avenue, Suite 210 Lake Success NY NEW YORK 11042 Executive Officer Director Rolian Ruiz c/o MediPortal, LLC 1979 Marcus Avenue, Suite 210 Lake Success NY NEW YORK 11042 Executive Officer Other Health Care Decline to Disclose 06b false true false true false 125000 12000000 0 12000000 true 0 0 0 true 0 true 0 true false MEDIPORTAL LLC Anand Prabhu Anand Prabhu Chief Executive Officer 2019-09-13