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IDAHO DIAGNOSTIC SLEEP LAB, INC.

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Company Details

Name: IDAHO DIAGNOSTIC SLEEP LAB, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 02 Jun 1994 (31 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 328655
Place of Formation: IDAHO
File Number: 328655
ZIP code: 83301
County: Twin Falls County
Mailing Address: STE 170 452 CHENEY DR W TWIN FALLS, ID 83301-4087

Agent

Name Role Address
SHADRIC L MILLER Agent 452 CHENEY DR W STE 170, TWIN FALLS, ID 83301

President

Name Role Address Appointed On
Shadric L Miller President 124 E 300 N, JEROME, ID 83338 2021-05-04

Director

Name Role Address Appointed On
Shadric L Miller Director 124 E 300 N, JEROME, ID 83338 2024-06-28

Treasurer

Name Role Address Appointed On
Shadric L Miller Treasurer 124 E 300 N, JEROME, ID 83338 2024-06-28

Secretary

Name Role Address Appointed On
Shadric L Miller Secretary 124 E 300 N, JEROME, ID 83338 2024-06-28

Vice President

Name Role Address Appointed On
Shadric L Miller Vice President 124 E 300 N, JEROME, ID 83338 2024-06-28

National Provider Identifier

NPI Number:
1740335991

Authorized Person:

Name:
SEAN D CHRISTENSEN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QS1200X - Sleep Disorder Diagnostic Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2087361569

Filing

Filing Name Filing Number Filing date
Annual Report 0005791534 2024-06-28
Annual Report 0005238080 2023-05-10
Annual Report 0004741633 2022-05-10
Annual Report 0004266439 2021-05-04
Annual Report 0003865930 2020-05-04

USAspending Awards / Financial Assistance

Date:
2020-04-07
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:
22000.00
Total Face Value Of Loan:
22000.00

Paycheck Protection Program

Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
22000
Current Approval Amount:
22000
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
22121.75

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Date of last update: 02 Jun 2025

Sources: Idaho Secretary of State