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LIFESTAGES OB/GYN, PLLC

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Company Details

Name: LIFESTAGES OB/GYN, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 11 Feb 2005 (20 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 122777
Place of Formation: IDAHO
File Number: 122777
ZIP code: 83687
County: Canyon County
Principal Address: 3908 W. FLAMINGO AVE NAMPA, ID 83687
Mailing Address: 3908 E FLAMINGO AVE NAMPA, ID 83687-3102

Agent

Name Role Address
DR DUSTAN T HUGHES Agent 3908 W. FLAMINGO AVE, NAMPA, ID 83687

Manager

Name Role Address Appointed On
Juliette Hughes MD Manager 3908 E. FLAMINGO AVE., NAMPA, ID 83616 2021-02-18

National Provider Identifier

NPI Number:
1871618892
Certification Date:
2024-12-26

Authorized Person:

Name:
DUSTAN HUGHES
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
No
Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
Yes

Contacts:

Fax:
2084428038

Form 5500 Series

Employer Identification Number (EIN):
202320132
Plan Year:
2014
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
6
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006085586 2025-01-31
Annual Report 0005590804 2024-02-07
Annual Report 0005088539 2023-02-01
Annual Report 0004652900 2022-03-10
Annual Report 0004177884 2021-02-18

USAspending Awards / Financial Assistance

Date:
2013-11-22
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
-274000.00
Total Face Value Of Loan:
-274000.00

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Date of last update: 31 Jul 2025

Sources: Idaho Secretary of State