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SOUTHERN IDAHO REGIONAL LABORATORY, LLC

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Company Details

Name: SOUTHERN IDAHO REGIONAL LABORATORY, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 08 Apr 1999 (26 years ago)
Financial Date End: 30 Apr 2020
Date dissolved: 17 Dec 2019
Entity Number: 41131
Place of Formation: IDAHO
File Number: 0000041131
Principal Address: 1055 N CURTIS RD BOISE, ID 83706-1309

Agent

Name Role Address
Odette C. Bolano Agent 1055 N CURTIS ROAD, BOISE, ID 83706-1309

National Provider Identifier

NPI Number:
1730165838

Authorized Person:

Name:
MR. KURT ROGERS
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
291U00000X - Clinical Medical Laboratory
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0003711183 2019-12-17
Application for Reinstatement 0003708305 2019-12-12
Dissolution/Revocation - Administrative 0003567286 2019-07-14
Annual Report 0001081946 2018-05-24
Change of Registered Office/Agent/Both (by Entity) 0001081913 2017-12-07

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State