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NORTH IDAHO ENDOSCOPY CENTER, PLLC

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Company Details

Name: NORTH IDAHO ENDOSCOPY CENTER, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 04 Sep 2001 (24 years ago)
Financial Date End: 30 Sep 2017
Date dissolved: 20 Mar 2017
Entity Number: 63254
Place of Formation: IDAHO
File Number: 0000063254
ZIP code: 83815
County: Kootenai County
Principal Address: 243 W SUNSET AVE COEUR D ALENE, ID 83815

National Provider Identifier

NPI Number:
1154328763

Authorized Person:

Name:
DR. GAVIN S YOUNG
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Fax:
2086657964

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0000675088 2017-03-20
Annual Report 0001159043 2016-07-25
Annual Report 0001159042 2015-07-20
Annual Report 0001159041 2014-08-28
Annual Report 0001159040 2013-07-15

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State