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LYON MEDICAL, LLC

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Company Details

Name: LYON MEDICAL, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 11 May 2015 (10 years ago)
Financial Date End: 31 May 2023
Date dissolved: 04 Aug 2023
Entity Number: 460847
Place of Formation: IDAHO
File Number: 460847
ZIP code: 83204
County: Power County
Principal Address: PO BOX 45179 BOISE, ID 83711
Mailing Address: FREDERICK C. LYON 4932 MOHAWK PL POCATELLO, ID 83204-4534

Agent

Name Role Address
ARKOOSH LAW OFFICE PLLC Agent 913 W RIVER ST, STE 450, BOISE, ID 83702

Member

Name Role Address Appointed On
FREDERICK C LYON Member PO BOX 2900, BOISE, ID 83701 2021-05-28

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

CAGE Code:
83LT9
UEI Expiration Date:
2019-07-18

Business Information

Activation Date:
2018-07-18
Initial Registration Date:
2018-05-03

National Provider Identifier

NPI Number:
1285014118

Authorized Person:

Name:
DIANA LYON
Role:
CO-OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208M00000X - Hospitalist Physician
Is Primary:
Yes

Contacts:

Fax:
2089473465

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005348901 2023-08-04
Annual Report 0004687996 2022-04-05
Annual Report 0004293639 2021-05-28
Annual Report 0003832391 2020-04-03
Annual Report 0003475391 2019-04-10

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Date of last update: 11 May 2025

Sources: Idaho Secretary of State