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PRECISION SURGERY CENTER, PLLC

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Company Details

Name: PRECISION SURGERY CENTER, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 07 Feb 2018 (7 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 592792
Place of Formation: IDAHO
File Number: 592792
ZIP code: 83702
County: Ada County
Principal Address: 633 N 4TH ST BOISE, ID 83702
Mailing Address: STE 300 900 N LIBERTY ST BOISE, ID 83704-8729

Agent

Name Role Address
SANDRA THOMPSON, MD Agent 900 N LIBERTY STREET, 300, BOISE, ID 83704

Member

Name Role Address Appointed On Resigned On
Sandra A Thompson Member 2113 ROANOKE DRIVE, BOISE, ID 83712 2024-01-04 No data
SANDRA A THOMPSON Member 179 N AL FRESCO PLACE, BOISE, ID 83712 2021-02-03 2024-01-04

National Provider Identifier

NPI Number:
1750884052
Certification Date:
2024-08-01

Authorized Person:

Name:
SANDRA A THOMPSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8662691712

Filing

Filing Name Filing Number Filing date
Annual Report 0006114683 2025-02-20
Annual Report 0005542029 2024-01-04
Annual Report 0005047845 2023-01-03
Annual Report 0004548976 2022-01-03
Annual Report 0004151986 2021-02-03

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Date of last update: 15 May 2025

Sources: Idaho Secretary of State