| Name: | MEDICAID PEDIATRICS, PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 14 Sep 2016 (8 years ago) |
| Financial Date End: | 30 Sep 2025 |
| Entity Number: | 520528 |
| Place of Formation: | IDAHO |
| File Number: | 520528 |
| ZIP code: | 83605 |
| County: | Canyon County |
| Principal Address: | 420 E ELM ST CALDWELL, ID 83605 |
| Mailing Address: | WILL BLACK 3599 W RYDER CUP DR MERIDIAN, ID 83646 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| William T Black | Manager | 3599 W RYDER CUP DR, MERIDIAN, ID 83646 | 2023-08-03 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| William Black | Member | 420 E ELM ST, CALDWELL, ID 83605-4846 | 2020-08-03 | 2023-08-03 |
| Name | Role | Address |
|---|---|---|
| WILLIAM T BLACK | Agent | 3599 W RYDER CUP DR, DR. BLACK, MERIDIAN, ID 83646 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005867307 | 2024-08-21 |
| Annual Report | 0005346712 | 2023-08-03 |
| Annual Report | 0004883660 | 2022-09-05 |
| Annual Report | 0004363939 | 2021-08-03 |
| Annual Report | 0003952057 | 2020-08-03 |
| Annual Report | 0003674252 | 2019-11-11 |
| Annual Report | 0003115759 | 2018-07-31 |
| Annual Report | 0003115758 | 2017-07-30 |
| Initial Filing | 0000520528 | 2016-09-14 |
Date of last update: 23 Dec 2024
Sources: Idaho Secretary of State
