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SEI MOBILE ANESTHESIA, PLLC

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Company Details

Name: SEI MOBILE ANESTHESIA, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 31 Mar 2014 (11 years ago)
Financial Date End: 31 Mar 2023
Date dissolved: 21 Feb 2023
Entity Number: 415393
Place of Formation: IDAHO
File Number: 415393
Principal Address: PO BOX 4107 POCATELLO, ID 83205
Mailing Address: PO BOX 4107 POCATELLO, ID 83205-4107

Agent

Name Role Address
DANIEL SNELL Agent 333 N 18TH BLDG A, POCATELLO, ID 83201

Manager

Name Role Address Appointed On
DANIEL SNELL Manager 333 N 18TH, POCATELLO, ID 83201 2021-02-22

National Provider Identifier

NPI Number:
1649710351

Authorized Person:

Name:
CAROL GILBERT
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Fax:
2082321950

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0005105690 2023-02-21
Annual Report 0004600703 2022-02-08
Annual Report 0004180064 2021-02-22
Annual Report 0003806835 2020-03-09
Annual Report 0003459647 2019-03-21

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Date of last update: 05 Jun 2025

Sources: Idaho Secretary of State