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North Idaho Endoscopy and Surgical Specialists, PLLC

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Company Details

Name: North Idaho Endoscopy and Surgical Specialists, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 09 Aug 2024 (a year ago)
Financial Date End: 31 Aug 2026
Entity Number: 5853455
Place of Formation: IDAHO
File Number: 949806
ZIP code: 83854
County: Kootenai County
Principal Address: 784 S. CLEARWATER LOOP STE B POST FALLS, ID 83854
Mailing Address: 3318 N GRANDMILL LN COEUR D ALENE, ID 83814

Agent

Name Role Address
NORTHWEST REGISTERED AGENT LLC Agent 784 S CLEARWATER LOOP STE B, POST FALLS, ID 83854

Member

Name Role Address Appointed On
Cory Richardson Member 3318 N GRANDMILL LN, COEUR D ALENE, ID 83814 2025-07-07

National Provider Identifier

NPI Number:
1104658152
Certification Date:
2024-08-18

Authorized Person:

Name:
DR. CORY RICHARDSON
Role:
PRESIDENT/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006341830 2025-07-07
Initial Filing 0005853455 2024-08-09

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Date of last update: 12 Jul 2025

Sources: Idaho Secretary of State