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Idaho Medical Specialists P.C.

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Company Details

Name: Idaho Medical Specialists P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved
Date of registration: 08 Jul 2021 (4 years ago)
Financial Date End: 31 Jul 2024
Date dissolved: 11 Dec 2023
Entity Number: 4338320
Place of Formation: IDAHO
File Number: 771778
ZIP code: 83646
County: Ada County
Mailing Address: STE F-240 3597 E MONARCH SKY LN MERIDIAN, ID 83646-1053

Agent

Name Role Address
CAPITOL CORPORATE SERVICES, INC. Agent 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704

President

Name Role Address Appointed On
Hirenkumar Italia President 133 ROLLINS AVE, SUITE 3, ROCKVILLE, MD 20852, ROCKVILLE, MD 20852 2022-08-01

National Provider Identifier

NPI Number:
1336813047
Certification Date:
2021-08-30

Authorized Person:

Name:
HIRENKUMAR ITALIA
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0006268407 2025-05-27
Articles of Dissolution 0005507362 2023-12-11
Annual Report 0005375317 2023-08-30
Registered Agent Name/Address Change (mass change) 0004906809 2022-09-12
Annual Report 0004836147 2022-08-01

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Date of last update: 08 Jul 2025

Sources: Idaho Secretary of State