Search icon

EASTERN IDAHO LABORATORY CONSULTANTS LLC

Company claim

Is this your business?

Get access!

Company Details

Name: EASTERN IDAHO LABORATORY CONSULTANTS LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 26 Mar 2015 (10 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 455302
Place of Formation: IDAHO
File Number: 455302
ZIP code: 83404
County: Bonneville County
Principal Address: 1820 EAST 17TH STREET SUITE 230 IDAHO FALLS, ID 83404
Mailing Address: CLARK DAINES PO BOX 103 2184 CHANNING WAY IDAHO FALLS, ID 83404

Agent

Name Role Address
CLARK DAINES Agent 2629 LIMERICK CIRCLE, IDAHO FALLS, ID 83404

Member

Name Role Address Appointed On Resigned On
GABRIELE TEERMANN Member 5616 CANYONWOOD DR., IDAHO FALLS, ID 83406 2024-04-08 2024-04-08
MATT TANNENBAUM Member 7395 S. CLIFFSIDE LN., IDAHO FALLS, ID 83406 2024-04-08 2024-04-08
CLARK DAINES Member 1419 N 1070 E, SHELLEY, ID 83274 2021-03-05 No data

National Provider Identifier

NPI Number:
1043060536
Certification Date:
2024-03-28

Authorized Person:

Name:
CLARK DAINES
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207ZP0102X - Anatomic Pathology & Clinical Pathology Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006202475 2025-04-09
Annual Report 0005684475 2024-04-08
Annual Report 0005124696 2023-02-24
Annual Report 0004630185 2022-03-03
Annual Report 0004199187 2021-03-05

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 11 May 2025

Sources: Idaho Secretary of State