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RADIOLOGY ASSOCIATES OF NORTH IDAHO, P.A.

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Company Details

Name: RADIOLOGY ASSOCIATES OF NORTH IDAHO, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 25 Mar 2004 (21 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 467650
Place of Formation: IDAHO
File Number: 467650
ZIP code: 83814
County: Kootenai County
Mailing Address: STE 175 700 W IRONWOOD DR COEUR D ALENE, ID 83814-4401

Agent

Name Role Address
ALBERT J MARTINEZ Agent 700 IRONWOOD DR STE 110, COEUR D'ALENE, ID 83814

President

Name Role Address Appointed On
ALBERT J MARTINEZ President 700 IRONWOOD DR STE 110, COEUR D'ALENE, ID 83814 2021-02-03
KEITH MCKLENDIN President 700 W IRONWOOD DR. STE 175, COEUR DALENE, ID 83814 2025-02-11

Vice President

Name Role Address Appointed On Resigned On
TAYLOR REICHEL Vice President 700 IRONWOOD DR STE 110, COEUR D'ALENE, ID 83814 2024-03-05 2024-03-05

Secretary

Name Role Address Appointed On Resigned On
KEITH MCKLENDIN Secretary 700 IRONWOOD DR STE 110, COEUR D'ALENE, ID 83814 2024-03-05 2024-03-05

National Provider Identifier

NPI Number:
1851384416
Certification Date:
2024-02-09

Authorized Person:

Name:
MR. SCOTT VENERA
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
2085N0700X - Neuroradiology Physician
Is Primary:
No
Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261QR0200X - Radiology Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2086256310

Form 5500 Series

Employer Identification Number (EIN):
201072226
Plan Year:
2010
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
13
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006105228 2025-02-11
Annual Report 0005635320 2024-03-05
Annual Report 0005091000 2023-02-03
Annual Report 0004625370 2022-02-28
Annual Report 0004154621 2021-02-03

USAspending Awards / Financial Assistance

Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
847145.87
Total Face Value Of Loan:
847145.87

Paycheck Protection Program

Jobs Reported:
21
Initial Approval Amount:
$847,145.87
Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$847,145.87
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$856,406.45
Servicing Lender:
Glacier Bank
Use of Proceeds:
Payroll: $847,145.87

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Date of last update: 05 Sep 2025

Sources: Idaho Secretary of State