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The Vascular Surgery Center of Excellence, PLLC

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Company Details

Name: The Vascular Surgery Center of Excellence, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 27 Sep 2023 (2 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 5412478
Place of Formation: IDAHO
File Number: 900401
ZIP code: 83301
County: Twin Falls County
Principal Address: ELLIOT ADAMS, M.D. 1205 WHITE BIRCH AVENUE TWIN FALLS, ID 83301
Mailing Address: ELLIOT ADAMS, M.D. 1205 WHITE BIRCH AVE TWIN FALLS, ID 83301-6058

Agent

Name Role Address
Elliot Adams Agent 1205 WHITE BIRCH AVENUE, TWIN FALLS, ID 83301

Member

Name Role Address Appointed On
Elliot Adams M.D. Member 1205 WHITE BIRCH AVE, TWIN FALLS, ID 83301-6058 2024-09-03

National Provider Identifier

NPI Number:
1851171409
Certification Date:
2023-12-06

Authorized Person:

Name:
ELLIOT MCNAMARA ADAMS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2086S0129X - Vascular Surgery Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005879574 2024-09-03
Initial Filing 0005412478 2023-09-27

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Date of last update: 21 May 2025

Sources: Idaho Secretary of State