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GEM STATE ENDOSCOPY, PLLC

Company Details

Name: GEM STATE ENDOSCOPY, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 19 Feb 2016 (9 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 493678
Place of Formation: IDAHO
File Number: 493678
ZIP code: 83501
County: Nez Perce County
Principal Address: 3709 14TH STREET LEWISTON, ID 83501
Mailing Address: 3709 14TH ST LEWISTON, ID 83501-5709

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
RPYNWL8JEJ15 2025-03-26 3709 14TH ST, LEWISTON, ID, 83501, 5709, USA 3709 14TH ST, LEWISTON, ID, 83501, 5709, USA

Business Information

Doing Business As GEM STATE ENDOSCOPY
URL www.clearwatergastro.net
Division Name GEM STATE ENDOSCOPY
Congressional District 01
State/Country of Incorporation ID, USA
Activation Date 2024-03-28
Initial Registration Date 2023-04-25
Entity Start Date 2016-01-01
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 621493, 621498, 621999

Points of Contacts

Electronic Business
Title PRIMARY POC
Name KATIE BLEVINS
Address 3709 14TH STREET, LEWISTON, ID, 83501, USA
Government Business
Title PRIMARY POC
Name KATIE BLEVINS
Role ADMINISTRATOR
Address 3709 14TH STREET, LEWISTON, ID, 83501, USA
Past Performance Information not Available

Agent

Name Role Address
CARL DETWILER, MD Agent 36108 MILLER ROAD, LEWISTON, ID 83501

Member

Name Role Address Appointed On
Carl Dettwiler Member 36108 MILLER ROAD, LEWISTON, ID 83501 2021-02-09

Filing

Filing Name Filing Number Filing date
Annual Report 0006043714 2025-01-03
Annual Report 0005535717 2024-01-03
Annual Report 0005052456 2023-01-04
Annual Report 0004585237 2022-01-31
Annual Report 0004169413 2021-02-09
Annual Report 0003740978 2020-01-08
Annual Report 0003404973 2019-01-21
Annual Report 0003043844 2017-12-21
Annual Report 0003043843 2016-12-21
Initial Filing 0000493678 2016-02-19

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2998338302 2021-01-21 1094 PPS 3709 14th St, Lewiston, ID, 83501-5709
Loan Status Date 2021-07-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 131757
Loan Approval Amount (current) 131757
Undisbursed Amount 0
Franchise Name -
Lender Location ID 72601
Servicing Lender Name Zions Bank, A Division of
Servicing Lender Address 1 S Main St, SALT LAKE CITY, UT, 84133-1109
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Lewiston, NEZ PERCE, ID, 83501-5709
Project Congressional District ID-01
Number of Employees 9
NAICS code 621493
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Partnership
Originating Lender ID 72601
Originating Lender Name Zions Bank, A Division of
Originating Lender Address SALT LAKE CITY, UT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 132265.98
Forgiveness Paid Date 2021-06-15
2447267204 2020-04-16 1094 PPP 3709 14th Street, LEWISTON, ID, 83501
Loan Status Date 2021-04-22
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 114900
Loan Approval Amount (current) 114900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 72601
Servicing Lender Name Zions Bank, A Division of
Servicing Lender Address 1 S Main St, SALT LAKE CITY, UT, 84133-1109
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address LEWISTON, NEZ PERCE, ID, 83501-0001
Project Congressional District ID-01
Number of Employees 9
NAICS code 621493
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Partnership
Originating Lender ID 72601
Originating Lender Name Zions Bank, A Division of
Originating Lender Address SALT LAKE CITY, UT
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 115919.93
Forgiveness Paid Date 2021-03-15

U.S. Small Business Administration Profile

Status User ID Name of Firm Trade Name UEI Address
Active P3143721 GEM STATE ENDOSCOPY, PLLC GEM STATE ENDOSCOPY RPYNWL8JEJ15 3709 14TH ST, LEWISTON, ID, 83501-5709
Capabilities Statement Link -
Phone Number 208-298-2135
Fax Number -
E-mail Address kblevins@cwgastro.com
WWW Page www.clearwatergastro.net
E-Commerce Website -
Contact Person KATIE BLEVINS
County Code (3 digit) 069
Congressional District 01
Metropolitan Statistical Area -
CAGE Code 9KYN4
Year Established 2016
Accepts Government Credit Card No
Legal Structure LLC
Ownership and Self-Certifications Self-Certified Small Disadvantaged Business
Business Development Servicing Office SEATTLE DISTRICT OFFICE (SBA office code 1013)
Capabilities Narrative (none given)
Special Equipment/Materials (none given)
Business Type Percentages (none given)
Keywords (none given)
Quality Assurance Standards (none given)
Electronic Data Interchange capable -

SBA Federal Certifications

HUBZone Certified No
Women Owned Certified No
Women Owned Pending No
Economically Disadvantaged Women Owned Certified No
Economically Disadvantaged Women Owned Pending No
Veteran-Owned Small Business Certified No
Veteran-Owned Small Business Joint Venture No
Service-Disabled Veteran-Owned Small Business Certified No
Service-Disabled Veteran-Owned Small Business Joint Venture No

Bonding Levels

Description Construction Bonding Level (per contract)
Level (none given)
Description Construction Bonding Level (aggregate)
Level (none given)
Description Service Bonding Level (per contract)
Level (none given)
Description Service Bonding Level (aggregate)
Level (none given)

NAICS Codes with Size Determinations by NAICS

Primary Yes
Code 621493
NAICS Code's Description Freestanding Ambulatory Surgical and Emergency Centers
Buy Green Yes
Code 621498
NAICS Code's Description All Other Outpatient Care Centers
Buy Green Yes
Code 621999
NAICS Code's Description All Other Miscellaneous Ambulatory Health Care Services
Buy Green Yes

Export Profile (Trade Mission Online)

Exporter Firm hasn't answered this question yet
Export Business Activities (none given)
Exporting to (none given)
Desired Export Business Relationships (none given)
Description of Export Objective(s) (none given)

Date of last update: 09 Apr 2025

Sources: Idaho Secretary of State