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DIAGNOSTIC IMAGING SERVICE OF IDAHO

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Company Details

Name: DIAGNOSTIC IMAGING SERVICE OF IDAHO
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 07 May 1997 (28 years ago)
Entity Number: 25327
Place of Formation: IDAHO
File Number: 0000025327
ZIP code: 83202
County: Bannock County
Mailing Address: 12700 NEPTUNE POCATELLO, ID 83202

Links between entities

Type:
Headquarter of
Company Number:
20181330951
State:
COLORADO

National Provider Identifier

NPI Number:
1508875360

Authorized Person:

Name:
MR. JAMES JAY EVERSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QR0208X - Mobile Radiology Clinic/Center
Is Primary:
No
Selected Taxonomy:
2471C3402X - Radiography Radiologic Technologist
Is Primary:
Yes

Contacts:

Fax:
2082370985

Form 5500 Series

Employer Identification Number (EIN):
841399737
Plan Year:
2017
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
9
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Initial Filing 0000025327 1997-05-07

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Date of last update: 22 Sep 2024

Sources: Idaho Secretary of State