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ADA PLASTIC AND RECONSTRUCTIVE SURGERY, INC.

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Company Details

Name: ADA PLASTIC AND RECONSTRUCTIVE SURGERY, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 26 May 2004 (21 years ago)
Financial Date End: 31 May 2017
Date dissolved: 14 Aug 2017
Entity Number: 470736
Place of Formation: IDAHO
File Number: 0000470736
ZIP code: 83704
County: Ada County
Mailing Address: 900 N LIBERTY STE 300 BOISE, ID 83704

National Provider Identifier

NPI Number:
1548433790

Authorized Person:

Name:
MR. THOMAS D MCKIM
Role:
OWNING PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2083676904

Filing

Filing Name Filing Number Filing date
Legacy Amendment 0002973884 2017-06-27
Legacy Amendment 0002973882 2017-06-14
Annual Report 0002973880 2016-03-31
Annual Report 0002973879 2015-03-24
Annual Report 0002973878 2014-06-16

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State