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Idahormones LLC

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Company Details

Name: Idahormones LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 08 Jun 2023 (2 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 5273736
Place of Formation: IDAHO
File Number: 883217
ZIP code: 83646
County: Ada County
Principal Address: STE 110 3648 N CENTREPOINT WAY MERIDIAN, ID 83646
Mailing Address: STE 110 3648 N CENTREPOINT WAY MERIDIAN, ID 83646-7626

Agent

Name Role Address
Jamie Ruiz Agent 4954 W GREY TOWERS DR, MERIDIAN, ID 83642

Member

Name Role Address Appointed On
Chelsey Galipeau Member 1459 E LAKE CREEK STREET, MERIDIAN, ID 83642 2024-05-07
Jamie Ruiz Member 4954 W GREY TOWERS DR, MERIDIAN, ID 83642 2024-05-07

National Provider Identifier

NPI Number:
1114600277
Certification Date:
2023-08-07

Authorized Person:

Name:
JAMIE RUIZ
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005728430 2024-05-07
Change of Registered Office/Agent/Both (by Entity) 0005449217 2023-10-25
Amendment to Certificate 0005327228 2023-07-19
Initial Filing 0005273736 2023-06-08

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Date of last update: 26 Mar 2025

Sources: Idaho Secretary of State