| Name: | SIPI Clinic LLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 20 Dec 2022 (2 years ago) |
| Financial Date End: | 31 Dec 2025 |
| Entity Number: | 5034512 |
| Place of Formation: | IDAHO |
| File Number: | 854534 |
| ZIP code: | 83301 |
| County: | Twin Falls County |
| Principal Address: | 176 FALLS AVENUE TWIN FALLS, ID 83301 |
| Mailing Address: | 176 FALLS AVE TWIN FALLS, ID 83301-2306 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DLRAHKM6N719 | 2024-11-27 | 176 FALLS AVE STE 1, TWIN FALLS, ID, 83301, 2306, USA | 176 FALLS AVE, TWIN FALLS, ID, 83301, USA | |||||||||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | SOUTHERN IDAHO PAIN INSTITUTE |
| Division Name | SOUTHERN IDAHO PAIN INSTITUTE |
| Division Number | SOUTHERN I |
| Congressional District | 02 |
| State/Country of Incorporation | ID, USA |
| Activation Date | 2023-12-14 |
| Initial Registration Date | 2021-10-14 |
| Entity Start Date | 1996-11-27 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621111 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DENISE RUE |
| Role | ADMINISTRATOR |
| Address | 176 FALLS AVE, TWIN FALLS, ID, 83301, 2306, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DENISE RUE |
| Role | ADMINISTRATOR |
| Address | 176 FALLS AVE, TWIN FALLS, ID, 83301, 2306, USA |
| Past Performance | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| Denise Rue | Agent | 8 NORTHRIDGE WAY, JEROME, ID 83338 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| JMU MEDICAL SERVICES, LLC | Manager | 1096 N EASTLAND DR, TWIN FALLS, ID 83301 | 2023-11-30 | 2023-11-30 |
| BND RUE LLC | Manager | 176 FALLS AVENUE, TWIN FALLS, ID 83301 | 2023-02-07 | No data |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0006001382 | 2024-12-03 |
| Annual Report | 0005491093 | 2023-11-30 |
| Amendment to Certificate | 0005098964 | 2023-02-07 |
| Initial Filing | 0005034512 | 2022-12-20 |
Date of last update: 07 Jan 2025
Sources: Idaho Secretary of State
