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Idaho Lung and Heart LLC
Company Details
| Name: |
Idaho Lung and Heart LLC |
| Jurisdiction: |
Idaho |
| Legal type: |
Limited Liability Company (D) |
| Status: |
Active-Existing
|
| Date of registration: |
25 Jun 2023 (2 years ago)
|
| Financial Date End: |
30 Jun 2025 |
| Entity Number: |
5292584 |
| Place of Formation: |
IDAHO |
| File Number: |
885757 |
| ZIP code: |
83440
|
| County: |
Madison County |
| Principal Address: |
MATT FJELSTROM 2 38 S. 2ND E. REXBURG, ID 83440 |
| Mailing Address: |
MATT FJELSTROM 2 38 S. 2ND E. REXBURG, ID 83440-5092 |
Agent
| Name |
Role |
Address |
|
Bradley Cordero
|
Agent
|
1175 S 5TH ST W, REXBURG, ID 83440
|
Manager
| Name |
Role |
Address |
Appointed On |
|
Bradley S. Cordero
|
Manager
|
1175 S 5TH ST W, REXBURG, ID 83440
|
2024-08-15
|
Member
| Name |
Role |
Address |
Appointed On |
|
Matthew Fjelstrom
|
Member
|
4518 TIMBERLINE ROAD, REXBURG, ID 83440
|
2024-08-15
|
National Provider Identifier
Certification Date:
2025-02-04
Authorized Person:
Taxonomy:
Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Selected Taxonomy:
225100000X - Physical Therapist
Contacts:
This company hasn't received any reviews.
Date of last update: 20 Jun 2025
Sources:
Idaho Secretary of State
