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CARDIAC CATH LAB OF IDAHO FALLS, LLC

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Company Details

Name: CARDIAC CATH LAB OF IDAHO FALLS, LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Active-Existing
Date of registration: 21 Jun 2017 (8 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 558133
Place of Formation: DELAWARE
File Number: 558133
ZIP code: 83404
County: Bonneville County
Principal Address: 2200 POST OAK BLVD STE 1525 HOUSTON, TX 77056
Mailing Address: 2325 CORONADO ST IDAHO FALLS, ID 83404-7407

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 1305 12TH AVE RD, NAMPA, ID 83686

Manager

Name Role Address Appointed On Resigned On
JAMES ADAMSON Manager 2325 CORONADO ST, IDAHO FALLS, ID 83404-7407 2021-06-25 No data
NED HILLYARD Manager 2325 CORONADO ST, IDAHO FALLS, ID 83404-7407 2024-06-12 2024-06-12
CHAD EVANS Manager 2325 CORONADO ST, IDAHO FALLS, ID 83404-7407 2024-06-12 2024-06-12

National Provider Identifier

NPI Number:
1609358761

Authorized Person:

Name:
ERIC FOURNET
Role:
CHIEF FINANCIAL OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
No
Selected Taxonomy:
2085R0204X - Vascular & Interventional Radiology Physician
Is Primary:
No
Selected Taxonomy:
207RI0011X - Interventional Cardiology Physician
Is Primary:
Yes

Contacts:

Fax:
8322711037

Filing

Filing Name Filing Number Filing date
Annual Report 0006248425 2025-05-12
Annual Report 0005778927 2024-06-12
Annual Report 0005253236 2023-05-30
Annual Report 0004764567 2022-06-03
Registered Agent Name/Address Change (mass change) 0004640571 2022-03-08

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Date of last update: 14 May 2025

Sources: Idaho Secretary of State