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SPECIALTY LABS, PLLC

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Company Details

Name: SPECIALTY LABS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 05 Oct 2010 (15 years ago)
Financial Date End: 31 Oct 2017
Date dissolved: 01 Feb 2017
Entity Number: 300002
Place of Formation: IDAHO
File Number: 0000300002
ZIP code: 83616
County: Ada County
Principal Address: 951 E PLAZA DRIVE STE 140 EAGLE, ID 83616

National Provider Identifier

NPI Number:
1114227246

Authorized Person:

Name:
DR. TAMARA SIMON
Role:
OWNER/LAB DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
291U00000X - Clinical Medical Laboratory
Is Primary:
Yes

Contacts:

Fax:
9399393507

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0000844884 2017-02-01
Annual Report 0002228533 2016-10-12
Annual Report 0002228532 2015-09-28
Annual Report 0002228531 2014-09-24
Annual Report 0002228530 2013-09-25

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State