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  5. ORTHOPRO OF LEWISTON INC.

ORTHOPRO OF LEWISTON INC.

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Company Details

Name: ORTHOPRO OF LEWISTON INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 12 Jun 2006 (19 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 507389
Place of Formation: IDAHO
File Number: 507389
ZIP code: 83501
County: Nez Perce County
Mailing Address: 823 16TH AVE LEWISTON, ID 83501-3733

Agent

Name Role Address
MARSHALL R BLACK Agent 823 16TH AVE, LEWISTON, ID 83501

President

Name Role Address Appointed On
Marshall R. Black President 823 16TH AVE, LEWISTON, ID 83501 2021-05-03

U.S. Small Business Administration Profile

Phone Number:
208-798-0200
E-mail Address:
orthoprolewiston@yahoo.com
Fax Number:
208-798-0201
Contact Person:
MARSHALL BLACK
Ownership and Self-Certifications:
Veteran
User ID:
P0980442

Unique Entity ID

Unique Entity ID:
W4KLAMPGLYF3
CAGE Code:
54N78
UEI Expiration Date:
2026-07-30

Business Information

Activation Date:
2025-08-01
Initial Registration Date:
2008-07-03

Commercial and government entity program

CAGE number:
54N78
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-09-13
CAGE Expiration:
2029-09-13
SAM Expiration:
2025-09-11

Contact Information

POC:
MARSHALL BLACK

National Provider Identifier

NPI Number:
1124209820
Link:
View on NPI website

Authorized Person:

Name:
MR. MARSHALL R BLACK
Role:
OWNER
Phone:
2087980200

Taxonomy:

Selected Taxonomy:
335E00000X - Prosthetic/Orthotic Supplier
Is Primary:
Yes

Contacts:

Phone:
+1 208-798-0200
Fax:
2087980201

Filing

Filing Name Filing Number Filing date
Annual Report 0006245906 2025-05-08
Annual Report 0005735602 2024-05-13
Annual Report 0005219649 2023-05-03
Annual Report 0004733951 2022-05-04
Annual Report 0004263746 2021-05-03

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C26024P0160
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
13909.81
Base And Exercised Options Value:
13909.81
Base And All Options Value:
13909.81
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2023-12-06
Description:
PROS ARTIFICIAL LIMB TFA
Naics Code:
339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product Or Service Code:
6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES
Procurement Instrument Identifier:
36C26023P1228
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
52271.03
Base And Exercised Options Value:
52271.03
Base And All Options Value:
52271.03
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2023-09-14
Description:
CUSTOM ARTIFICIAL LIMB
Naics Code:
339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product Or Service Code:
6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES
Procurement Instrument Identifier:
36C26023P0309
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
32083.51
Base And Exercised Options Value:
32083.51
Base And All Options Value:
32083.51
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2023-01-18
Description:
L5828 - RIGHT ENDO KNEE-SHIN FLUID SWG/STA
Naics Code:
339113: SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING
Product Or Service Code:
6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

USAspending Awards / Financial Assistance

Date:
2020-04-30
Link:
View on USAspending
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:
36100.00
Total Face Value Of Loan:
36100.00

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$36,100
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$36,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$36,435.28
Servicing Lender:
Umpqua Bank
Use of Proceeds:
Payroll: $36,100

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Date of last update: 10 Aug 2025

Sources: Idaho Secretary of State

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