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Performance Modalities, Inc.

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Company Details

Name: Performance Modalities, Inc.
Jurisdiction: Idaho
Legal type: Foreign Business Corporation
Status: Active-Good Standing
Date of registration: 14 Jul 2020 (5 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 3939859
Place of Formation: Washington
File Number: 717444
ZIP code: 83814
County: Kootenai County
Principal Address: SUITE 308 1110 W PARK PLACE COEUR D' ALENE, ID 83814
Mailing Address: #A-101 19625 - 62ND AVE S KENT, WA 98032

Agent

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

Secretary

Name Role Address Appointed On
Eric Kim Secretary 19625 - 62ND AVE S, KENT, WA 98032 2024-07-01
Bryce Rodda Secretary PO BOX 94307, SEATTLE, WA 98124-6607 2023-07-27

Vice President

Name Role Address Appointed On
Brian Berkin Vice President 16925 - 62ND AVE S, KENT, WA 98032 2024-07-01

Director

Name Role Address Appointed On
Benjamin Davidson Director PO BOX 94307, SEATTLE, WA 98124-6076 2023-07-27

President

Name Role Address Appointed On
Dan Vasilj President PO BOX 94307, SEATTLE, WA 98124-6607 2021-07-06

Treasurer

Name Role Address Appointed On
Bryce Rodda Treasurer PO BOX 94307, SEATTLE, WA 98124-6607 2023-07-27

National Provider Identifier

NPI Number:
1639791734
Certification Date:
2024-07-17

Authorized Person:

Name:
LUANA MICHELE HALL
Role:
DIRECTOR OF COMPLIANCE
Phone:

Taxonomy:

Selected Taxonomy:
332BX2000X - Oxygen Equipment & Supplies (DME)
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
2538544891
Fax:
8774142727

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0006278526 2025-05-27
Annual Report 0005793275 2024-07-01
Annual Report 0005332978 2023-07-27
Registered Agent Name/Address Change (mass change) 0004901495 2022-09-12
Annual Report 0004825874 2022-07-18

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Date of last update: 14 Jun 2025

Sources: Idaho Secretary of State