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PEND OREILLE RADIOLOGY, INC.

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Company Details

Name: PEND OREILLE RADIOLOGY, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 27 Oct 1999 (26 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 400343
Place of Formation: IDAHO
File Number: 400343
ZIP code: 83864
County: Bonner County
Mailing Address: JACOB STYER 318 N 2ND AVE SANDPOINT, ID 83864

President

Name Role Address Appointed On
Edward c VanVooren President 200 HOOVER AVE, LAS VEGAS, NV 89101 2020-09-03

Agent

Name Role Address
JACOB STYER Agent 318 N 2ND AVE, SANDPOINT, ID 83864

National Provider Identifier

NPI Number:
1619243276

Authorized Person:

Name:
CHARLES W MAILE
Role:
AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
820520903
Plan Year:
2015
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
3
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005922893 2024-10-03
Annual Report 0005380998 2023-09-04
Annual Report 0004882146 2022-09-03
Annual Report 0004400417 2021-09-03
Annual Report 0003994094 2020-09-03

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Date of last update: 04 Jun 2025

Sources: Idaho Secretary of State