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NAMPA RADIOLOGISTS, P.A.

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Company Details

Name: NAMPA RADIOLOGISTS, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 29 Jul 1975 (50 years ago)
Financial Date End: 31 Jul 2011
Date dissolved: 05 Oct 2011
Entity Number: 167033
Place of Formation: IDAHO
File Number: 0000167033
Mailing Address: PO BOX 247 NAMPA, ID 83653

National Provider Identifier

NPI Number:
1043249253

Authorized Person:

Name:
DR. JANICE BROOKS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2085N0700X - Neuroradiology Physician
Is Primary:
No
Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
No
Selected Taxonomy:
2085P0229X - Pediatric Radiology Physician
Is Primary:
No
Selected Taxonomy:
2085R0204X - Vascular & Interventional Radiology Physician
Is Primary:
No

Contacts:

Fax:
2083441926

Form 5500 Series

Employer Identification Number (EIN):
820316249
Plan Year:
2012
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
6
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0001578517 2010-07-20
Annual Report 0001578516 2009-06-01
Annual Report 0001578515 2008-08-01
Annual Report 0001578514 2007-06-29
Annual Report 0001578504 2006-07-28

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State