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ELEVATE ANESTHESIA LLC

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Company Details

Name: ELEVATE ANESTHESIA LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 08 Jan 2023 (3 years ago)
Financial Date End: 31 Jan 2024
Date dissolved: 23 Apr 2024
Entity Number: 5057728
Place of Formation: IDAHO
File Number: 857262
ZIP code: 83401
County: Bonneville County
Principal Address: 5094 E LINCOLN RD IDAHO FALLS, ID 83401
Mailing Address: 5094 E LINCOLN RD IDAHO FALLS, ID 83401-5768

Agent

Name Role Address
LARA KNOWLES Agent 5094 E LINCOLN RD, IDAHO FALLS, ID 83401

National Provider Identifier

NPI Number:
1699473801
Certification Date:
2023-02-16

Authorized Person:

Name:
LARA KNOWLES
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
Yes

Contacts:

Fax:
2085350550

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005700487 2024-04-23
Initial Filing 0005057728 2023-01-08

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Date of last update: 10 Jul 2025

Sources: Idaho Secretary of State