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TEA OBS LLC

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Company Details

Name: TEA OBS LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 28 Jul 2022 (3 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 4834465
Place of Formation: IDAHO
File Number: 833651
ZIP code: 83642
County: Ada County
Principal Address: 2620 S EAGLE RD MERIDIAN, ID 83642-6704

Agent

Name Role Address
EYE ASSOCIATES, P.A. (THE) Agent 2620 S EAGLE RD, MERIDIAN, ID 83642

Manager

Name Role Address Appointed On
GREGORY J KENT Manager 2031 W ISLAND GREEN DR, MERIDIAN, ID 83646 2023-06-13

National Provider Identifier

NPI Number:
1962123315
Certification Date:
2023-08-22

Authorized Person:

Name:
DAVID CROOKE
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
261QS0132X - Ophthalmologic Surgery Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005754495 2024-06-03
Annual Report 0005279533 2023-06-13
Initial Filing 0004834465 2022-07-28

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Date of last update: 25 Mar 2025

Sources: Idaho Secretary of State