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NORTH IDAHO MRI

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Company Details

Name: NORTH IDAHO MRI
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 29 Aug 2007 (18 years ago)
Entity Number: 352587
Place of Formation: IDAHO
File Number: 0000352587
ZIP code: 83814
County: Kootenai County
Mailing Address: ANCILLARY SUPPORT SERVICES 2003 LINCOLN WAY COEUR D'ALENE, ID 83814

National Provider Identifier

NPI Number:
1265425029

Authorized Person:

Name:
THOMAS J LEGEL
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
261QM1200X - Magnetic Resonance Imaging (MRI) Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2086663963

Filing

Filing Name Filing Number Filing date
Initial Filing 0000352587 2007-08-29

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Date of last update: 25 Sep 2024

Sources: Idaho Secretary of State