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Post Falls Anesthesia Group, PLLC

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Company Details

Name: Post Falls Anesthesia Group, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 06 Nov 2020 (5 years ago)
Financial Date End: 30 Nov 2023
Date dissolved: 30 Apr 2023
Entity Number: 4061178
Place of Formation: IDAHO
File Number: 732932
ZIP code: 83854
County: Kootenai County
Principal Address: STE 203 602 N CALGARY COURT POST FALLS, ID 83854
Mailing Address: 2158 S STARLIGHT DR COEUR D ALENE, ID 83814-5827

Agent

Name Role Address
KALYNNE BARLOW Agent 2158 S STARLIGHT DR, COEUR D ALENE, ID 83814-5827

Manager

Name Role Address Appointed On
Bradley Barlow Manager 2158 S STARLIGHT DR, COEUR D ALENE, ID 83814 2020-11-06

National Provider Identifier

NPI Number:
1871195131
Certification Date:
2020-11-12

Authorized Person:

Name:
BRADLEY S BARLOW
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1223D0004X - Dentist Anesthesiologist
Is Primary:
No
Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
No
Selected Taxonomy:
207LP3000X - Pediatric Anesthesiology Physician
Is Primary:
No
Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
Yes

Contacts:

Fax:
2085503468

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0005214669 2023-04-29
Annual Report 0004965300 2022-10-31
Annual Report 0004436021 2021-10-04
Amendment to Certificate 0004062183 2020-11-06
Initial Filing 0004061178 2020-11-06

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Date of last update: 07 Jul 2025

Sources: Idaho Secretary of State