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ADA WEST DERMATOPATHOLOGY, LLC

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Company Details

Name: ADA WEST DERMATOPATHOLOGY, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 12 Jul 2012 (13 years ago)
Financial Date End: 31 Jul 2026
Entity Number: 355327
Place of Formation: IDAHO
File Number: 355327
ZIP code: 83642
County: Ada County
Principal Address: 1618 S MILLENNIUM WY STE 100 MERIDIAN, ID 83642
Mailing Address: STE 100 1618 S MILLENIUM WAY MERIDIAN, ID 83642-6457

Manager

Name Role Address Appointed On
SOMPHANE PHIMMASONE Manager 1618 S. MILLENNIUM WAY, MERIDIAN, ID 83642-9066 2022-07-07
Rhea Morrison Manager 1618 S. MILLENNIUM WAY, STE.100, MERIDIAN, ID 83642-9066 2024-06-03

Member

Name Role Address Appointed On Resigned On
Mona J Burr Member 1618 S MILLENIUM WAY, MERIDIAN, ID 83642-6457 2020-08-05 2022-07-07
DAVID MART HOLDAWAY Member 1618 S. MILLENNIUM WAY, MERIDIAN, ID 83642-9066 2023-07-05 2024-06-03

Agent

Name Role Address
Somphane Phimmasone Agent 1618 S MILLENNIUM WAY, STE 100, MERIDIAN, ID 83642-6352

National Provider Identifier

NPI Number:
1760730436
Certification Date:
2022-11-10

Authorized Person:

Name:
COLLEEN JONES
Role:
CFO
Phone:

Taxonomy:

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

Contacts:

Fax:
2088840858

Filing

Filing Name Filing Number Filing date
Annual Report 0006313209 2025-06-11
Annual Report 0005754300 2024-06-03
Annual Report 0005304469 2023-07-05
Annual Report 0004808470 2022-07-07
Change of Registered Office/Agent/Both (by Entity) 0004704538 2022-04-28

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Date of last update: 29 Jun 2025

Sources: Idaho Secretary of State