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IDAHO MEDICAL IMAGING, LLC

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Company Details

Name: IDAHO MEDICAL IMAGING, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 07 Nov 2005 (20 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 145091
Place of Formation: IDAHO
File Number: 145091
ZIP code: 83201
County: Bannock County
Principal Address: 2059 PINTO AVE POCATELLO, ID 83201
Mailing Address: 1600 TREKKER RDG POCATELLO, ID 83201-7921

Agent

Name Role Address
GEORGE H STEPHENS MD Agent 1600 TREKKER RIDGE, POCATELLO, ID 83201

Member

Name Role Address Appointed On
George Stephens Member 2059 PINTO AVE., POCATELLO, ID 83201 2020-11-05
George H. Stephens Member 1600 TREKKER RIDGE, POCATELLO, ID 83201 2024-10-04

National Provider Identifier

NPI Number:
1770698482

Authorized Person:

Name:
SCOTT DEAN
Role:
BUSINESS MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005928697 2024-10-04
Change of Registered Office/Agent/Both (by Entity) 0005610025 2024-03-05
Change of Registered Office/Agent/Both (by Entity) 0005613500 2024-02-26
Statement of Change of Business Mailing Address 0005610016 2024-02-21
Annual Report 0005431783 2023-10-04

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Date of last update: 24 Jun 2025

Sources: Idaho Secretary of State