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IDAHO PATHOLOGY LABORATORY, LLC

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Company Details

Name: IDAHO PATHOLOGY LABORATORY, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 30 Dec 2010 (14 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 307064
Place of Formation: IDAHO
File Number: 307064
ZIP code: 83221
County: Bingham County
Principal Address: 98 POPLAR STREET BLACKFOOT, ID 83221
Mailing Address: 98 POPLAR ST BLACKFOOT, ID 83221-1758

Agent

Name Role Address
KRISTOPHER MCGEE MD Agent 7069 RUNNING IRON IN, POCATELLO, ID 83204

Manager

Name Role Address Appointed On
Bingham Memorial Hospital Manager 98 POPLAR ST, BLACKFOOT, ID 83221 2020-11-03

Member

Name Role Address Appointed On Resigned On
Idaho Pathology Laboratory Physicians, PLLC Member 7069 RUNNING IRON LN, POCATELLO, ID 83204 2023-11-07 2023-11-07

National Provider Identifier

NPI Number:
1205195484

Authorized Person:

Name:
LOUIS KRAML
Role:
CEO
Phone:

Taxonomy:

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

Contacts:

Fax:
2087858959

Filing

Filing Name Filing Number Filing date
Annual Report 0005968641 2024-11-06
Annual Report 0005468853 2023-11-07
Annual Report 0004971970 2022-11-03
Annual Report 0004485167 2021-11-04
Annual Report 0004049394 2020-11-03

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Date of last update: 07 May 2025

Sources: Idaho Secretary of State