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TETON NUCLEAR MEDICINE SERVICE LLC

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Company Details

Name: TETON NUCLEAR MEDICINE SERVICE LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 24 Sep 2007 (18 years ago)
Financial Date End: 30 Sep 2025
Date dissolved: 16 Dec 2023
Entity Number: 212050
Place of Formation: IDAHO
File Number: 212050
ZIP code: 83404
County: Bonneville County
Mailing Address: DANNY DAVIS STE 20 2001 S WOODRUFF AVE IDAHO FALLS, ID 83404-6373
Principal Address: STE 20 2001 S WOODRUFF AVE IDAHO FALLS, ID 83404-6373

Agent

Name Role Address
DANNY L DAVIS Agent 2001 S WOODRUFF AVE #20, IDAHO FALLS, ID 83404

Manager

Name Role Address Appointed On
Danny L Davis Manager 2001 S WOODRUFF, IDAHO FALLS, ID 83404 2021-10-19
Danny L Davis Mr Manager 2001 S WOODRUFF, IDAHO FALLS, ID 83404 2020-08-03

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Fax Number:
208-525-3201
Contact Person:
DANNY DAVIS
User ID:
P2187919
Trade Name:
TETON NUCLEAR MEDICINE SERVICE

Unique Entity ID

Unique Entity ID:
J3N8K759WXC5
CAGE Code:
7SQS7
UEI Expiration Date:
2026-05-06

Business Information

Doing Business As:
TETON NUCLEAR MEDICINE SERVICE
Activation Date:
2025-05-08
Initial Registration Date:
2017-01-30

Commercial and government entity program

CAGE number:
7SQS7
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-05-08
CAGE Expiration:
2030-05-08
SAM Expiration:
2026-05-06

Contact Information

POC:
DANNY DAVIS
Corporate URL:
www.tetonnuclearmedicine.com

National Provider Identifier

NPI Number:
1265612543

Authorized Person:

Name:
MR. DANNY L DAVIS
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207UN0901X - Nuclear Cardiology Physician
Is Primary:
No
Selected Taxonomy:
207UN0902X - Nuclear Imaging & Therapy Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0005974822 2024-11-08
Dissolution/Revocation - Administrative 0005513975 2023-12-16
Annual Report 0004889874 2022-09-08
Annual Report 0004450522 2021-10-19
Annual Report 0003953875 2020-08-03

USAspending Awards / Financial Assistance

Date:
2020-04-28
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:
78200.00
Total Face Value Of Loan:
78200.00
Date:
2013-06-27
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
270000.00
Total Face Value Of Loan:
270000.00

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$78,200
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$78,200
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$78,907.01
Servicing Lender:
Zions Bank, A Division of
Use of Proceeds:
Payroll: $78,200

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Date of last update: 17 Jul 2025

Sources: Idaho Secretary of State