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SJRMC INTERVENTIONAL RADIOLOGY SERVICES, LLC

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Company Details

Name: SJRMC INTERVENTIONAL RADIOLOGY SERVICES, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 16 Jul 2013 (12 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 389603
Place of Formation: IDAHO
File Number: 389603
ZIP code: 83501
County: Nez Perce County
Principal Address: 415 6TH STREET LEWISTON, ID 83501
Mailing Address: 680 SOUTH FOURTH STREET LOUISVILLE, KY 40202

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704

Member

Name Role Address Appointed On
St. Joseph Hospital, LLC Member 330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027 2020-07-01

Manager

Name Role Address Appointed On
Scott Graeser Manager 680 SOUTH FOURTH STREET, LOUISVILLE, KY 40202 2024-06-14
Michael J Bean Manager 680 SOUTH FOURTH STREET, LOUISVILLE, KY 40202 2024-06-14
Kathy Teague Manager 680 SOUTH FOURTH STREET, LOUISVILLE, KY 40202 2024-06-14

National Provider Identifier

NPI Number:
1982037107
Certification Date:
2022-03-24

Authorized Person:

Name:
TERRANCE DILLON
Role:
ASST SECRETARY
Phone:

Taxonomy:

Selected Taxonomy:
2085B0100X - Body Imaging Physician
Is Primary:
No
Selected Taxonomy:
2085R0204X - Vascular & Interventional Radiology Physician
Is Primary:
No
Selected Taxonomy:
261QR0200X - Radiology Clinic/Center
Is Primary:
No
Selected Taxonomy:
2085N0700X - Neuroradiology Physician
Is Primary:
Yes

Contacts:

Fax:
6159208775
Fax:
2087507395

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0006271883 2025-05-27
Annual Report 0005781122 2024-06-14
Annual Report 0005272378 2023-06-08
Registered Agent Name/Address Change (mass change) 0004894917 2022-09-12
Annual Report 0004772672 2022-06-06

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Date of last update: 04 Jun 2025

Sources: Idaho Secretary of State