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SIPI ASC LLC

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Company Details

Name: SIPI ASC LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 21 Dec 2022 (2 years ago)
Financial Date End: 31 Dec 2023
Date dissolved: 21 Feb 2024
Entity Number: 5035931
Place of Formation: IDAHO
File Number: 854805
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

Agent

Name Role Address
Denise Rue Agent 8 NORTHRIDGE WAY, JEROME, ID 83338

National Provider Identifier

NPI Number:
1205540002
Certification Date:
2023-01-06

Authorized Person:

Name:
DENISE RUE
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2087333168

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0005586577 2024-02-21
Initial Filing 0005035931 2022-12-21

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Date of last update: 26 Mar 2025

Sources: Idaho Secretary of State