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TETON RADIOLOGY DIAGNOSTIC LLC

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Company Details

Name: TETON RADIOLOGY DIAGNOSTIC LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Merged Out
Date of registration: 27 Mar 2003 (22 years ago)
Financial Date End: 31 Mar 2010
Date dissolved: 19 Jun 2009
Entity Number: 83684
Place of Formation: IDAHO
File Number: 0000083684
ZIP code: 83404
County: Bonneville County
Principal Address: 2440 E 25TH ST CIRCLE IDAHO FALLS, ID 83404

National Provider Identifier

NPI Number:
1194969725

Authorized Person:

Name:
MR. MICHAEL P HODEL
Role:
GENERAL MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
2085B0100X - Body Imaging Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
421583605
Plan Year:
2023
Number Of Participants:
135
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
112
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
112
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
106
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Statement of Merger (Non-Survivor) 0000691174 2009-06-19
Annual Report 0001231429 2009-03-13
Annual Report 0001231428 2009-03-13
Annual Report 0001231431 2008-01-25
Annual Report 0001231430 2007-02-20

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State