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Idaho Bariatric and Metabolic Institute L.L.C.

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Company Details

Name: Idaho Bariatric and Metabolic Institute L.L.C.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 28 Feb 2019 (6 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 3438650
Place of Formation: IDAHO
File Number: 656512
ZIP code: 83646
County: Ada County
Principal Address: 2549 W. ASTONTE DR. MERIDIAN, ID 83646
Mailing Address: STE 200 2960 E ST LUKES ST MERIDIAN, ID 83642

Agent

Name Role Address
David J Brown Agent 902 S. LONE HOLLOW WAY, EAGLE, ID 83616

Manager

Name Role Address Appointed On
David J Brown Manager 902 S. LONE HOLLOW WAY, EAGLE, ID 83616 2021-04-16

National Provider Identifier

NPI Number:
1477014207
Certification Date:
2025-04-10

Authorized Person:

Name:
DAVID J BROWN
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207VB0002X - Obesity Medicine (Obstetrics & Gynecology) Physician
Is Primary:
No
Selected Taxonomy:
2083B0002X - Obesity Medicine (Preventive Medicine) Physician
Is Primary:
No
Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2089576891

Filing

Filing Name Filing Number Filing date
Annual Report 0006153830 2025-03-10
Annual Report 0005623615 2024-03-02
Annual Report 0005045822 2023-01-03
Statement of Change of Business Mailing Address 0004549498 2022-01-03
Annual Report 0004549532 2022-01-03

USAspending Awards / Financial Assistance

Date:
2019-09-04
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
100000.00
Total Face Value Of Loan:
0.00

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Date of last update: 17 May 2025

Sources: Idaho Secretary of State