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GENESIS SURGERY CENTER, LLC

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Company Details

Name: GENESIS SURGERY CENTER, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 09 May 2017 (8 years ago)
Financial Date End: 31 May 2021
Date dissolved: 13 Aug 2021
Entity Number: 553529
Place of Formation: IDAHO
File Number: 553529
ZIP code: 83702
County: Ada County
Principal Address: 1775 STATE ST #163 BOISE, ID 83702
Mailing Address: 1775 W STATE ST # 163 BOISE, ID 83702-3924

Agent

Name Role Address
JULIA MARSH Agent 8950 W EMERALD ST #168, BOISE, ID 83702

National Provider Identifier

NPI Number:
1629597216

Authorized Person:

Name:
DANIEL MARSH
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2082977772

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004382698 2021-08-13
Annual Report 0003837160 2020-04-06
Annual Report 0003541051 2019-06-18
Annual Report 0003190684 2018-04-04
Initial Filing 0000553529 2017-05-09

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Date of last update: 04 Jul 2025

Sources: Idaho Secretary of State