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IDAHO SPINE & PAIN, PLLC

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Company Details

Name: IDAHO SPINE & PAIN, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 13 Apr 2016 (9 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 500909
Place of Formation: IDAHO
File Number: 500909
ZIP code: 83642
County: Ada County
Principal Address: 1859 S. TOPAZ WAY 106 MERIDIAN, ID 83642
Mailing Address: STE 106 1859 S TOPAZ WAY MERIDIAN, ID 83642-4401

Agent

Name Role Address
KARL ZARSE, M.D. Agent 1859 S. TOPAZ WAY, SUITE 106, MERIDIAN, ID 83642

Manager

Name Role Address Appointed On Resigned On
Torrey Atrian Manager 1859 S. TOPAZ WAY, MERIDIAN, ID 83642 2021-03-08 2023-09-05
KARL Zarse Manager 1859 S TOPAZ WAY, MERIDIAN, ID 83642 2023-09-05 No data

National Provider Identifier

NPI Number:
1306291836
Certification Date:
2024-09-10

Authorized Person:

Name:
KARL R ZARSE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
No
Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
No
Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2089576300

Form 5500 Series

Employer Identification Number (EIN):
812228898
Plan Year:
2023
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
4
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006204940 2025-04-11
Annual Report 0005675607 2024-04-05
Annual Report Amendment 0005382796 2023-09-05
Annual Report 0005244912 2023-05-17
Annual Report 0004630025 2022-03-03

USAspending Awards / Financial Assistance

Date:
2020-04-16
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:
124200.00
Total Face Value Of Loan:
124200.00

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$124,200
Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$124,200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$125,394.36
Servicing Lender:
D. L. Evans Bank
Use of Proceeds:
Payroll: $124,200

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Date of last update: 02 Jul 2025

Sources: Idaho Secretary of State