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Idaho Speech and Swallow Services, LLC

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Company Details

Name: Idaho Speech and Swallow Services, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 11 Jan 2021 (4 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 4129432
Place of Formation: IDAHO
File Number: 741705
ZIP code: 83703
County: Ada County
Principal Address: 5522 NORTH TURRET WAY BOISE, ID 83703
Mailing Address: C 6001 W STATE ST BOISE, ID 83703

Agent

Name Role Address
Camarin Lawlor Agent 6001 W STATE ST, C, BOISE, ID 83703

Manager

Name Role Address Appointed On Resigned On
Mathew Lawlor Manager 6001 W STATE ST, BOISE, ID 83703 2023-12-06 No data
Camarin Lawlor Manager 4696 W OVERLAND RD, BOISE, ID 83705 2021-12-03 2023-12-06

National Provider Identifier

NPI Number:
1104416288
Certification Date:
2021-06-01

Authorized Person:

Name:
CAMARIN LAWLOR
Role:
OWNER/SPEECH-LANGUAGE PATHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006004718 2024-12-03
Annual Report 0005502138 2023-12-06
Annual Report 0005009998 2022-12-04
Annual Report 0004515666 2021-12-03
Initial Filing 0004129432 2021-01-11

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Date of last update: 15 Jun 2025

Sources: Idaho Secretary of State