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Spark Med Spa, L.L.C.

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Company Details

Name: Spark Med Spa, L.L.C.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 27 Mar 2022 (3 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 4673433
Place of Formation: IDAHO
File Number: 813636
ZIP code: 83801
County: Kootenai County
Principal Address: ROBBIE GARRETT 33616 NORTH SHEEP SPRINGS ROAD ATHOL, ID 83801
Mailing Address: PO BOX 1021 ATHOL, ID 83801-6009

Agent

Name Role Address
Robbie J Garrett Agent 33616 N SHEEP SPRINGS RD, ATHOL, ID 83801

Member

Name Role Address Appointed On Resigned On
Joeseph Poston Member 3130 S GUM ST, KENNEWICK, WA 99337 2024-04-04 2024-04-04

Manager

Name Role Address Appointed On
Robbie J Garrett Manager PO BOX 1021, ATHOL, ID 83801 2023-04-11

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.

Unique Entity ID:
T9H2EVR5CAV8
UEI Expiration Date:
2024-08-09

Business Information

Activation Date:
2023-08-14
Initial Registration Date:
2022-06-06

National Provider Identifier

NPI Number:
1376246884
Certification Date:
2025-05-16

Authorized Person:

Name:
ROBBIE J GARRETT
Role:
CO-OWNER/DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006203849 2025-04-10
Annual Report 0005673293 2024-04-04
Annual Report 0005195633 2023-04-11
Initial Filing 0004673433 2022-03-27

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Date of last update: 09 Jul 2025

Sources: Idaho Secretary of State