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Piktel, LLC

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Company Details

Name: Piktel, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 26 Feb 2021 (4 years ago)
Financial Date End: 28 Feb 2023
Date dissolved: 10 May 2023
Entity Number: 4184721
Place of Formation: IDAHO
File Number: 749976
ZIP code: 83712
County: Ada County
Principal Address: 1301 E HAYS WAY BOISE, ID 83712
Mailing Address: STE 101 413 N ALLUMBAUGH ST BOISE, ID 83704-9219

Agent

Name Role Address
James Piktel Agent 1301 E HAYS WAY, BOISE, ID 83712

Manager

Name Role Address Appointed On
James Piktel Manager 1301 E HAYS WAY, BOISE, ID 83712 2022-01-04

National Provider Identifier

NPI Number:
1164189155
Certification Date:
2021-11-24

Authorized Person:

Name:
CHERI PETERSON
Role:
CREDENTIALING SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
2083239604

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005236410 2023-05-10
Annual Report 0004552932 2022-01-04
Statement of Change of Business Mailing Address 0004292190 2021-05-26
Initial Filing 0004184721 2021-02-26

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Date of last update: 19 May 2025

Sources: Idaho Secretary of State