| Name: | Northern Lakes Surgery Center, PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 26 May 2021 (4 years ago) |
| Financial Date End: | 31 May 2025 |
| Entity Number: | 4291944 |
| Place of Formation: | IDAHO |
| File Number: | 765512 |
| ZIP code: | 83835 |
| County: | Kootenai County |
| Principal Address: | 8552 N GOVERNMENT WAY HAYDEN, ID 83835-9280 |
| Mailing Address: | JEFF 8552 N GOVERNMENT WAY HAYDEN, ID 83835-9280 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Jeffrey Robert Lyman | Manager | 3103 N 22ND ST, COEUR D'ALENE, ID 83815 | 2022-04-04 |
| Darren Plummer | Manager | 1233 N NORTHWOOD CENTER CT, COEUR D ALENE, ID 83814-6190 | 2024-06-10 |
| Christopher Arena | Manager | 1233 N NORTHWOOD CENTER CT, COEUR D ALENE, ID 83814-6190 | 2024-06-10 |
| Richard Stowell | Manager | 1233 N NORTHWOOD CENTER CT, COEUR D ALENE, ID 83814-6190 | 2024-06-10 |
| Name | Role | Address |
|---|---|---|
| Jeffrey Lyman | Agent | 1233 N NORTHWOOD CENTER CT, STE 101, COEUR D ALENE, ID 83814-6190 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005771361 | 2024-06-10 |
| Amendment to Certificate | 0005645288 | 2024-02-26 |
| Annual Report | 0005176781 | 2023-04-03 |
| Registered Agent Name/Address Change (mass change) | 0005005564 | 2022-12-02 |
| Registered Agent Name/Address Change (mass change) | 0004786032 | 2022-06-17 |
| Amendment to Certificate | 0004694159 | 2022-04-11 |
| Annual Report | 0004687295 | 2022-04-04 |
| Initial Filing | 0004291944 | 2021-05-26 |
Date of last update: 04 Jan 2025
Sources: Idaho Secretary of State
