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Lewis Clark Imaging LLC
Company Details
| Name: |
Lewis Clark Imaging LLC |
| Jurisdiction: |
Idaho |
| Legal type: |
Limited Liability Company (D) |
| Status: |
Active-Existing
|
| Date of registration: |
01 Dec 2021 (4 years ago)
|
| Financial Date End: |
31 Dec 2025 |
| Entity Number: |
4501071 |
| Place of Formation: |
IDAHO |
| File Number: |
791634 |
| ZIP code: |
83501
|
| County: |
Nez Perce County |
| Principal Address: |
IVY GWOST STE C 77 SOUTHWAY AVE LEWISTON, ID 83501 |
| Mailing Address: |
KAREN O'SHAUGHNESSY STE B 336 WARNER DR LEWISTON, ID 83501-4441 |
Agent
| Name |
Role |
Address |
|
IVY GWOST
|
Agent
|
254 W ASH ST, GENESEE, ID 83832
|
Manager
| Name |
Role |
Address |
Appointed On |
Resigned On |
|
IVY GWOST
|
Manager
|
336 WARNER AVE, LEWISTON, ID 83501
|
2022-12-11
|
No data
|
|
KAREN O'SHAUGHNESSY
|
Manager
|
336 WARNER AVE, LEWISTON, ID 83501
|
2024-01-08
|
2024-01-08
|
National Provider Identifier
Certification Date:
2024-06-12
Authorized Person:
Taxonomy:
Selected Taxonomy:
261Q00000X - Clinic/Center
Selected Taxonomy:
261QR0200X - Radiology Clinic/Center
Contacts:
This company hasn't received any reviews.
Date of last update: 20 May 2025
Sources:
Idaho Secretary of State
