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PATHOLOGY CONSULTANTS OF IDAHO FALLS, P.A.

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Company Details

Name: PATHOLOGY CONSULTANTS OF IDAHO FALLS, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 01 Jul 1970 (55 years ago)
Financial Date End: 31 Jul 2026
Entity Number: 139619
Place of Formation: IDAHO
File Number: 139619
ZIP code: 83404
County: Bonneville County
Mailing Address: CLARK DAINES BOX 103 2184 CHANNING WAY IDAHO FALLS, ID 83404

President

Name Role Address Appointed On Resigned On
Clark R Daines President 1419 N. 1070 E., SHELLEY, ID 83274 2022-01-07 No data
MATT TANNENBAUM President 7395 S. CLIFFSIDE, IDAHO FALLS, ID 83406 2021-06-04 2022-01-07

Vice President

Name Role Address Appointed On Resigned On
Bryn Haws Vice President 2010 E. 49TH S., IDAHO FALLS, ID 83404 2023-06-13 2024-06-16

Director

Name Role Address Appointed On Resigned On
Matt Tannenbaum Director 7395 S. CLIFFSIDE, IDAHO FALLS, ID 83406 2023-06-13 2024-06-16
Gabriele E Teermann Director 5615 CANYONWOOD CIR, IDAHO FALLS, ID 83406 2023-06-13 2024-06-16

Agent

Name Role Address
CLARK DAINES Agent 2377 CORONADO, IDAHO FALLS, ID 83404

Form 5500 Series

Employer Identification Number (EIN):
820294455
Plan Year:
2024
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
19
Sponsors DBA Name:
PATHOLOGY ASSOCIATES OF IDAHO FALLS PA
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006327867 2025-06-24
Annual Report 0005781906 2024-06-16
Articles of Amendment 0005405632 2023-09-19
Annual Report 0005279340 2023-06-13
Change of Registered Office/Agent/Both (by Entity) 0004834877 2022-08-22

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Date of last update: 01 Aug 2025

Sources: Idaho Secretary of State