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INTERMOUNTAIN MEDICAL IMAGING, LLC

Company Details

Name: INTERMOUNTAIN MEDICAL IMAGING, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 23 Jul 1999 (26 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 43320
Place of Formation: IDAHO
File Number: 43320
ZIP code: 83702
County: Ada County
Principal Address: 877 W MAIN 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

Member

Name Role Address Appointed On Resigned On
Stephanie Plischke Member 1055 N CURTIS, BOISE, ID 83706 2024-06-03 2024-06-03
Linda Payne-Smith Member 1055 N CURTIS, BOISE, ID 83706 2023-06-05 No data
Travis Leach Member 1055 N CURTIS, BOISE, ID 83706 2024-06-03 2024-06-03

Manager

Name Role Address Appointed On Resigned On
Lisa Scales Manager 877 W MAIN STREET, SUITE 603, BOISE, ID 83702 2021-06-03 2023-06-05
Bertram Stemmler Manager 877 W MAIN STREET, SUITE 603, BOISE, ID 83702 2024-06-03 2024-06-03
Tony Giauque Manager 877 W MAIN STREET, SUITE 603, BOISE, ID 83702 2024-06-03 2024-06-03
Matt Moore Manager 877 W MAIN STREET, SUITE 603, BOISE, ID 83702 2024-06-03 2024-06-03
Shane McGonegle Manager 877 W MAIN STREET, SUITE 603, BOISE, ID 83702 2024-06-03 2024-06-03
Neil Davey Manager 877 W MAIN STREET, SUITE 603, BOISE, ID 83702 2024-06-03 2024-06-03

National Provider Identifier

NPI Number:
1598524696
Certification Date:
2024-03-21

Authorized Person:

Name:
WAYNE BALDWIN
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
Yes

Contacts:

Fax:
2089473322

Filing

Filing Name Filing Number Filing date
Annual Report Amendment 0005935907 2024-10-10
Annual Report 0005755121 2024-06-03
Annual Report 0005265950 2023-06-05
Annual Report 0004772364 2022-06-06
Annual Report 0004301985 2021-06-03

USAspending Awards / Financial Assistance

Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
1420000.00
Total Face Value Of Loan:
1420000.00

Paycheck Protection Program

Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
1420000
Current Approval Amount:
1420000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
1427967.78

Date of last update: 25 May 2025

Sources: Idaho Secretary of State