| Name: | MAGIC VALLEY INTERNAL MEDICINE, PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 30 Aug 2017 (7 years ago) |
| Financial Date End: | 31 Aug 2025 |
| Entity Number: | 567939 |
| Place of Formation: | IDAHO |
| File Number: | 567939 |
| ZIP code: | 83301 |
| County: | Twin Falls County |
| Principal Address: | 2156 CAYUSE ST TWIN FALLS, ID 83301 |
| Mailing Address: | 2156 CAYUSE ST TWIN FALLS, ID 83301-5684 |
| Name | Role | Address |
|---|---|---|
| TIMOTHY A. ENDERS, D.O. | Agent | 2156 CAYUSE ST, TWIN FALLS, ID 83301 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Timothy A Enders DO PLLC | Member | 2156 CAYUSE ST, TWIN FALLS, ID 83301 | 2023-07-10 |
| Adam M Robison MD PLLC | Member | 796 SUN PEAK WAY, TWIN FALLS, ID 83301 | 2023-07-10 |
| Thomas W Dirocco MD PLLC | Member | 962 SPARKS ST N, TWIN FALLS, ID 83301 | 2020-07-06 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005797662 | 2024-07-03 |
| Annual Report | 0005315098 | 2023-07-10 |
| Annual Report | 0004869028 | 2022-08-24 |
| Annual Report | 0004352581 | 2021-07-19 |
| Annual Report | 0003930688 | 2020-07-06 |
| Annual Report | 0003603100 | 2019-08-22 |
| Annual Report | 0003219785 | 2018-09-25 |
| Initial Filing | 0000567939 | 2017-08-30 |
Date of last update: 26 Dec 2024
Sources: Idaho Secretary of State
