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MINIMALLY INVASIVE SURGERY NORTHWEST, PA

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Company Details

Name: MINIMALLY INVASIVE SURGERY NORTHWEST, PA
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 27 Jun 1995 (30 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 342344
Place of Formation: IDAHO
File Number: 342344
ZIP code: 83854
County: Kootenai County
Mailing Address: STE 103 750 N SYRINGA ST POST FALLS, ID 83854-5275

Agent

Name Role Address
ELEVEN-FOURTEEN, INC. Agent 608 NORTHWEST BLVD, STE 300, COEUR D ALENE, ID 83814

President

Name Role Address Appointed On
Antoine Sarkis President 750 N. SYRINGA ST., POST FALLS, ID 83854 2020-07-31

National Provider Identifier

NPI Number:
1942459698

Authorized Person:

Name:
ANTOINE SARKIS
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2084164146

Filing

Filing Name Filing Number Filing date
Notice of Determination 0006202923 2025-04-10
Annual Report 0005772194 2024-06-10
Change of Registered Office/Agent/Both (by Entity) 0005388861 2023-09-12
Notice of Determination 0005377038 2023-09-01
Registered Agent Resignation from an Entity 0005371417 2023-08-21

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Date of last update: 02 Jun 2025

Sources: Idaho Secretary of State