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Direct Medical Imaging LLC

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Company Details

Name: Direct Medical Imaging LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 22 Nov 2006 (19 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 180883
Place of Formation: IDAHO
File Number: 180883
ZIP code: 83702
County: Ada County
Principal Address: 1673 W SHORELINE DR STE 140 BOISE, ID 83702
Mailing Address: #1276 1200 N. MAIN ST. MERIDIAN, ID 83680

Agent

Name Role Address
STEVE RAUSCH LAW OFFICE, PLLC Agent 1120 S RACKHAM WAY, STE 300, MERIDIAN, ID 83642

Manager

Name Role Address Appointed On
KURTIS M MOORE Manager 4519 ENTERPRISE WAY, CALDWELL, ID 83605 2021-07-08

Managing Member

Name Role Address Appointed On
Charles James Eldredge Managing Member 1200 N. MAIN ST., MERIDIAN, ID 83680 2024-12-30

National Provider Identifier

NPI Number:
1659528511

Authorized Person:

Name:
MR. GREGORY F. CLARK
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QR0200X - Radiology Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2084557538

Filing

Filing Name Filing Number Filing date
Amendment to Certificate 0006242679 2025-05-06
Annual Report 0006039442 2024-12-30
Registered Agent Name/Address Change (mass change) 0005952823 2024-10-29
Annual Report 0005465470 2023-11-06
Annual Report 0004966712 2022-11-01

USAspending Awards / Financial Assistance

Date:
2020-05-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
307600.00
Total Face Value Of Loan:
307600.00

Paycheck Protection Program

Date Approved:
2020-05-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
307600
Current Approval Amount:
307600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
311678.86

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Date of last update: 28 May 2025

Sources: Idaho Secretary of State