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CARDIAC CIN OF BOISE, LLC

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Company Details

Name: CARDIAC CIN OF BOISE, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 13 Feb 2018 (7 years ago)
Financial Date End: 28 Feb 2021
Date dissolved: 30 Nov 2020
Entity Number: 591291
Place of Formation: IDAHO
File Number: 591291
ZIP code: 83702
County: Ada County
Principal Address: 102 WOODMONT BLVD SUITE 35 NASHVILLE, TN 37205
Mailing Address: BOISE, ID 83702-5945 STE 1460-10 800 W MAIN ST BOISE, ID 83702-5945

Agent

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

National Provider Identifier

NPI Number:
1730688748

Authorized Person:

Name:
EDWARD LELAND HUTTON EADIE
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207RI0011X - Interventional Cardiology Physician
Is Primary:
No
Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Fax:
6153860067

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0004647586 2022-03-08
Registered Agent Name/Address Change (mass change) 0004472884 2021-10-29
Statement of Dissolution 0004076884 2020-11-30
Annual Report 0003754825 2020-01-27
Application for Reinstatement 0003590044 2019-08-07

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Date of last update: 04 Jul 2025

Sources: Idaho Secretary of State