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LASERCARE CENTER OF IDAHO, LLC

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Company Details

Name: LASERCARE CENTER OF IDAHO, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 30 Mar 2005 (20 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 126945
Place of Formation: IDAHO
File Number: 126945
ZIP code: 83706
County: Ada County
Principal Address: 360 E MALLARD DR STE 110 BOISE, ID 83706
Mailing Address: STE 110 360 E MALLARD DR BOISE, ID 83706-3945

Manager

Name Role Address Appointed On Resigned On
Louis Pennow Manager 360 E MALLARD DR., BOISE, ID 83706 2021-03-03 2022-02-03
Louis M Pennow MBA Manager 2088 E MEADOWCREEK DR, MERIDIAN, ID 83646 2024-03-04 No data

Member

Name Role Address Appointed On Resigned On
Mark E Hollingshead MD Member 353 N BELLA VIA PL, BOISE, ID 83712 2024-03-04 2024-03-04
Ryan T Barrett MD Member 3481 EAST DARTMOOR COURT, MERIDIAN, ID 83642 2024-03-04 2024-03-04

Agent

Name Role Address
Ryan T Barrett Agent 360 E MALLARD DR, STE 110, BOISE, ID 83706

National Provider Identifier

NPI Number:
1780726455

Authorized Person:

Name:
SANDIE FELICE
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QS0132X - Ophthalmologic Surgery Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2084260902

Filing

Filing Name Filing Number Filing date
Annual Report 0006089073 2025-02-03
Annual Report Amendment 0006041917 2025-01-02
Annual Report 0005629050 2024-03-04
Application for Reinstatement 0005388390 2023-09-07
Dissolution/Revocation - Administrative 0005280068 2023-06-14

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Date of last update: 15 Jul 2025

Sources: Idaho Secretary of State