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MEDICAL IMAGING ASSOCIATES OF IDAHO FALLS, Inc.

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Company Details

Name: MEDICAL IMAGING ASSOCIATES OF IDAHO FALLS, Inc.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 30 Jun 1975 (50 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 166436
Place of Formation: IDAHO
File Number: 166436
ZIP code: 83404
County: Bonneville County
Mailing Address: 2265 E SUNNYSIDE RD IDAHO FALLS, ID 83404-7598

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 1305 12TH AVE RD, NAMPA, ID 83686

Incorporator

Name Role Address Appointed On
Chris Harker Incorporator 2265 EAST SUNNYSIDE ROAD, IDAHO FALLS, ID 83404 2021-03-11

President

Name Role Address Appointed On Resigned On
Richard Whitney President 2330 UTAH AVENUE, EL SEGUNDO, CA 90245 2022-06-10 No data
Chris Harker President 2265 E SUNNYSIDE RD, IDAHO FALLS, ID 83404 2021-05-03 2022-06-10

Secretary

Name Role Address Appointed On Resigned On
Caren Weakley Secretary 2330 UTAH AVENUE, EL SEGUNDO, CA 90245 2024-05-06 2024-05-06

Treasurer

Name Role Address Appointed On Resigned On
Steve Tumbarello Treasurer 2330 UTAH AVENUE, EL SEGUNDO, CA 90245 2024-05-06 2024-05-06

Director

Name Role Address Appointed On Resigned On
Richard Whitney Director 2330 UTAH AVENUE, EL SEGUNDO, CA 90245 2024-05-06 2024-05-06

Unique Entity ID

Unique Entity ID:
YKUHDXK42RU6
CAGE Code:
7R1X5
UEI Expiration Date:
2025-11-11

Business Information

Doing Business As:
BIG SKY VASCULAR
Activation Date:
2024-11-20
Initial Registration Date:
2016-08-25

Commercial and government entity program

CAGE number:
7R1X5
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-11-20
CAGE Expiration:
2029-11-20
SAM Expiration:
2025-11-11

Contact Information

POC:
ERIC L. LAING
Corporate URL:
www.miarad.com

National Provider Identifier

NPI Number:
1740225531
Certification Date:
2024-07-12

Authorized Person:

Name:
SHARLEE LEBLEU
Role:
VICE PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2085R0204X - Vascular & Interventional Radiology Physician
Is Primary:
No
Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
Yes

Contacts:

Fax:
2085232025

Filing

Filing Name Filing Number Filing date
Annual Report 0006248423 2025-05-12
Annual Report Amendment 0006218536 2025-04-25
Annual Report 0005724910 2024-05-06
Annual Report 0005221762 2023-05-03
Annual Report Amendment 0004780645 2022-06-10

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Date of last update: 01 Aug 2025

Sources: Idaho Secretary of State