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The Idaho Clinic, PLLC
Company Details
Name: |
The Idaho Clinic, PLLC |
Jurisdiction: |
Idaho |
Legal type: |
Limited Liability Company (D) |
Status: |
Active-Existing
|
Date of registration: |
16 Jan 2021 (5 years ago)
|
Financial Date End: |
31 Jan 2026 |
Entity Number: |
4136804 |
Place of Formation: |
IDAHO |
File Number: |
742675 |
ZIP code: |
83704
|
County: |
Ada County |
Principal Address: |
JARED ARMSTRONG OR BRADLEY DAINES SUITE 290 8854 W EMERALD ST BOISE, ID 83704 |
Mailing Address: |
JARED ARMSTRONG OR BRADLEY DAINES STE 290 8854 W EMERALD ST BOISE, ID 83704-4846 |
Agent
Name |
Role |
Address |
Jared Armstrong
|
Agent
|
3848 W SUGARBERRY ST, EAGLE, ID 83616
|
Manager
Name |
Role |
Address |
Appointed On |
Resigned On |
S Bradley Daines MD
|
Manager
|
1991 W AXTELL CT, BOISE, ID 83703
|
2022-03-21
|
No data
|
S Bradley Daines MD, PLLC
|
Manager
|
1991 W AXTELL CT, BOISE, ID 83703
|
2021-12-05
|
2022-03-21
|
Jared Armstrong, MD
|
Manager
|
3848 W SUGARBERRY ST, EAGLE, ID 83616
|
2023-12-04
|
2023-12-04
|
Unique Entity ID
Unique Entity ID:
EEQHUK4U7AX5
UEI Expiration Date:
2026-02-03
Business Information
Doing Business As:
THE IDAHO CLINIC: HIP AND KNEE REPLACEMENT
Activation Date:
2025-02-05
Initial Registration Date:
2025-02-03
National Provider Identifier
Certification Date:
2023-03-01
Authorized Person:
Taxonomy:
Selected Taxonomy:
207XS0114X - Adult Reconstructive Orthopaedic Surgery Physician
Contacts:
Form 5500 Series
Employer Identification Number (EIN):
861506816
Number Of Participants:
12
Sponsors Telephone Number:
Number Of Participants:
9
Sponsors Telephone Number:
Number Of Participants:
0
Sponsors Telephone Number:
This company hasn't received any reviews.
Date of last update: 08 Jul 2025
Sources:
Idaho Secretary of State