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SAWTOOTH DIAGNOSTIC IMAGING, PLLC

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Company Details

Name: SAWTOOTH DIAGNOSTIC IMAGING, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 30 Aug 2002 (23 years ago)
Financial Date End: 31 Aug 2015
Date dissolved: 12 Jan 2015
Entity Number: 75316
Place of Formation: IDAHO
File Number: 0000075316
ZIP code: 83702
County: Ada County
Principal Address: 115 W MAIN ST STE 202 BOISE, ID 83702

National Provider Identifier

NPI Number:
1396792305

Authorized Person:

Name:
MS. LISA SMITH
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
No
Selected Taxonomy:
2085N0700X - Neuroradiology Physician
Is Primary:
No
Selected Taxonomy:
2085R0204X - Vascular & Interventional Radiology Physician
Is Primary:
No

Contacts:

Fax:
2083441926

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0000684677 2015-01-12
Annual Report 0001199877 2014-06-12
Annual Report 0001199875 2013-06-13
Annual Report 0001199872 2012-06-14
Annual Report 0001199867 2011-06-10

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State