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XDI PATHOLOGY, P.A.

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Company Details

Name: XDI PATHOLOGY, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved
Date of registration: 21 Mar 2008 (17 years ago)
Financial Date End: 31 Mar 2015
Date dissolved: 10 Dec 2014
Entity Number: 537967
Place of Formation: IDAHO
File Number: 0000537967
ZIP code: 83702
County: Ada County
Mailing Address: 1151 W MILLER ST BOISE, ID 83702

National Provider Identifier

NPI Number:
1275791865

Authorized Person:

Name:
MR. BRAD MORTON
Role:
SVP AR APPLICATIONS
Phone:

Taxonomy:

Selected Taxonomy:
291U00000X - Clinical Medical Laboratory
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0000926248 2014-12-10
Annual Report 0003156682 2014-01-22
Annual Report 0003156681 2013-02-01
Statement of Change of Business Mailing Address 0003156680 2012-10-29
Annual Report 0003156679 2012-01-12

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State