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Treasure Valley Pain Center, LLC

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Company Details

Name: Treasure Valley Pain Center, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 05 Jul 2023 (2 years ago)
Financial Date End: 31 Jul 2026
Entity Number: 5304916
Place of Formation: IDAHO
File Number: 887158
ZIP code: 83646
County: Ada County
Principal Address: TATIANA KHOCHAY 150 2240 W. EVEREST LANE MERIDIAN, ID 83646
Mailing Address: TATIANA KHOCHAY 150 2240 W. EVEREST LN. MERIDIAN, ID 83646

Agent

Name Role Address
Tatiana V Khochay Agent 1067 E AZAN ST, MERIDIAN, ID 83646

Manager

Name Role Address Appointed On
Tatiana V Khochay Manager 1067 E AZAN ST, MERIDIAN, ID 83646 2024-07-08

National Provider Identifier

NPI Number:
1477321537
Certification Date:
2024-05-15

Authorized Person:

Name:
TATIANA KHOCHAY
Role:
OWNER/PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8444020970

Filing

Filing Name Filing Number Filing date
Annual Report 0006339497 2025-07-03
Annual Report 0005812485 2024-07-08
Amendment to Certificate 0005447445 2023-10-25
Initial Filing 0005304916 2023-07-05

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Date of last update: 11 Jul 2025

Sources: Idaho Secretary of State