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Boise Ultrasound Company, Inc.

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Company Details

Name: Boise Ultrasound Company, Inc.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 19 Nov 2020 (5 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 4071759
Place of Formation: IDAHO
File Number: 734780
ZIP code: 83705
County: Ada County
Mailing Address: STE 101 1510 S ROBERT ST BOISE, ID 83705-5194

Agent

Name Role Address
Lacy Marlatt Agent 1510 S ROBERT ST, STE 101, BOISE, ID 83705

Officer

Name Role Address Appointed On Resigned On
LVA Sono LLC Officer 7808 W BRIGHT STAR ST, BOISE, ID 83709 2021-10-05 2022-12-08

Director

Name Role Address Appointed On
Lacy Marlatt Director 1510 S ROBERT ST, BOISE, ID 83705-5194 2024-01-04

Incorporator

Name Role Address Appointed On
Lacy Marlatt Incorporator 7808 W BRIGHT START ST, BOISE, ID 83709 2022-12-08

Governor

Name Role Address Appointed On Resigned On
LVA Sono LLC Governor 7808 W BRIGHT STAR ST, BOISE, ID 83709 2021-05-19 2021-10-05

National Provider Identifier

NPI Number:
1245824929
Certification Date:
2023-01-03

Authorized Person:

Name:
LACY MARLATT
Role:
OWNER/PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
2085U0001X - Diagnostic Ultrasound Physician
Is Primary:
No
Selected Taxonomy:
261QR0200X - Radiology Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2084080280

Filing

Filing Name Filing Number Filing date
Annual Report 0006015191 2024-12-06
Annual Report 0005542394 2024-01-04
Statement of Conversion 0005020870 2022-12-08
Annual Report 0004958336 2022-10-20
Annual Report 0004438636 2021-10-05

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Date of last update: 18 May 2025

Sources: Idaho Secretary of State