| Name: | Blue Lakes Anesthesia, PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 23 Jul 2024 (6 months ago) |
| Financial Date End: | 31 Jul 2025 |
| Entity Number: | 5827404 |
| Place of Formation: | IDAHO |
| File Number: | 947273 |
| ZIP code: | 83334 |
| County: | Twin Falls County |
| Principal Address: | THAD HOLLIST 3849-A NORTH 3700 EAST HANSEN, ID 83334 |
| Mailing Address: | THAD HOLLIST 3849A N 3700 E HANSEN, ID 83334-5039 |
| Name | Role | Address |
|---|---|---|
| THAD HOLLIST | Agent | 3849-A NORTH 3700 EAST, HANSEN, ID 83334 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Initial Filing | 0005827404 | 2024-07-23 |
Date of last update: 25 Nov 2024
Sources: Idaho Secretary of State
