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GEM STATE RADIOLOGY, LLP

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Company Details

Name: GEM STATE RADIOLOGY, LLP
Jurisdiction: Idaho
Legal type: Limited Liability Partnership (D)
Status: Active-Existing
Date of registration: 20 Mar 1996 (29 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 422
Place of Formation: IDAHO
File Number: 422
ZIP code: 83702
County: Ada County
Principal Address: 877 W MAIN ST STE 603 BOISE, ID 83702
Mailing Address: STE 603 877 W MAIN ST BOISE, ID 83702-6070

Agent

Name Role Address
John Jackson Agent 877 W MAIN STREET, 603, BOISE, ID 83702

Officer

Name Role Address Appointed On Resigned On
Ian Davey Officer 1673 S RIDGEPOINT PL, BOISE, ID 83712 2024-02-05 2024-02-05
Neil Davey Officer 2121 BLUESTEM LANE, BOISE, ID 83706 2021-02-05 No data
Benjamin Hom Officer 2879 W SUGARBERRY DR, EAGLE, ID 83616 2024-02-05 2024-02-05

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

CAGE Code:
79LE5
UEI Expiration Date:
2019-03-26

Business Information

Activation Date:
2018-03-26
Initial Registration Date:
2014-08-15

Commercial and government entity program

The The Commercial And Government Entity Code (CAGE) is assigned by the Department of Defense's Defense Logistics Agency (DLA) and represents your company's physical address for GSA's mailings, payments, and administrative records.

Note: A CAGE Code enables a company to contract with the U.S. government, allowing bid on government contracts and to receive government payments. Also for business this means that it's a Verified business entity and Has a validated physical address.

CAGE number:
79LE5
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2023-03-27
CAGE Expiration:
2023-03-26

Contact Information

POC:
KAREN NOYES

National Provider Identifier

NPI Number:
1124258611
Certification Date:
2023-10-31

Authorized Person:

Name:
MR. WAYNE BALDWIN
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
2085U0001X - Diagnostic Ultrasound Physician
Is Primary:
No
Selected Taxonomy:
2086S0129X - Vascular Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2083849023

Form 5500 Series

Employer Identification Number (EIN):
826041596
Plan Year:
2023
Number Of Participants:
1
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006091928 2025-02-03
Annual Report 0005585551 2024-02-05
Annual Report 0005106209 2023-02-09
Annual Report 0004593169 2022-02-03
Annual Report 0004166374 2021-02-05

Paycheck Protection Program

Jobs Reported:
48
Initial Approval Amount:
$1,535,000
Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,427,873
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,443,481.8
Servicing Lender:
Idaho First Bank
Use of Proceeds:
Payroll: $1,427,873

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Date of last update: 13 Jul 2025

Sources: Idaho Secretary of State