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Treasure Valley Rheumatology, PLLC

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Company Details

Name: Treasure Valley Rheumatology, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 27 Jul 2022 (3 years ago)
Financial Date End: 31 Jul 2026
Entity Number: 4832989
Place of Formation: IDAHO
File Number: 833358
ZIP code: 83642
County: Ada County
Principal Address: 1948 S. EAGLE RD MERIDIAN, ID 83642
Mailing Address: 1948 S EAGLE RD MERIDIAN, ID 83642-2452

Agent

Name Role Address
NORTHWEST REGISTERED AGENT LLC Agent 784 S CLEARWATER LOOP STE B, POST FALLS, ID 83854

Member

Name Role Address Appointed On Resigned On
CJS 3, PLLC Member 1948 S EAGLE RD, MERIDIAN, ID 83642 2023-07-20 2024-07-09
Perding, PLLC Member 1948 S EAGLE RD, MERIDIAN, ID 83642 2022-08-22 No data

National Provider Identifier

NPI Number:
1295455475
Certification Date:
2023-02-15

Authorized Person:

Name:
ACHINI DINGMAN
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
207RR0500X - Rheumatology Physician
Is Primary:
Yes

Contacts:

Fax:
2085152706

Filing

Filing Name Filing Number Filing date
Annual Report 0006298193 2025-06-04
Annual Report 0005814032 2024-07-09
Annual Report 0005328265 2023-07-20
Change of Registered Office/Agent/Both (by Entity) 0004867519 2022-08-23
Amendment to Certificate 0004867114 2022-08-22

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Date of last update: 10 Jul 2025

Sources: Idaho Secretary of State