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SLEEP WAKE IDAHO, PLLC

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Company Details

Name: SLEEP WAKE IDAHO, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 02 Feb 2024 (a year ago)
Financial Date End: 28 Feb 2026
Entity Number: 5578986
Place of Formation: IDAHO
File Number: 919316
ZIP code: 83704
County: Ada County
Principal Address: MARK RASMUS, MD 7272 POTOMAC DRIVE BOISE, ID 83704
Mailing Address: MARK RASMUS, MD 7272 W POTOMAC DR BOISE, ID 83704-9149

Agent

Name Role Address
SCOTT TUCKER Agent 7272 POTOMAC DRIVE, BOISE, ID 83704

Managing Member

Name Role Address Appointed On
MARK RASMUS MD Managing Member 7272 POTOMAC DRIVE, BOISE, ID 83704 2025-01-03

National Provider Identifier

NPI Number:
1700642683
Certification Date:
2024-02-27

Authorized Person:

Name:
DR. MARK RASMUS
Role:
MANAGING PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
207RS0012X - Sleep Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006043182 2025-01-03
Initial Filing 0005578986 2024-02-02

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Date of last update: 22 May 2025

Sources: Idaho Secretary of State