0001289828-20-000001.txt : 20201119
0001289828-20-000001.hdr.sgml : 20201119
20201119123649
ACCESSION NUMBER: 0001289828-20-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20201119
DATE AS OF CHANGE: 20201119
EFFECTIVENESS DATE: 20201119
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Treasure Valley Urology Services LLC
CENTRAL INDEX KEY: 0001289828
IRS NUMBER: 000000000
STATE OF INCORPORATION: ID
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-381009
FILM NUMBER: 201327982
BUSINESS ADDRESS:
STREET 1: 9825 SPECTRUM DRIVE
STREET 2: BUILDING 3
CITY: AUSTIN
STATE: TX
ZIP: 78717
BUSINESS PHONE: 866-598-2734
MAIL ADDRESS:
STREET 1: 9825 SPECTRUM DRIVE
STREET 2: BUILDING 3
CITY: AUSTIN
STATE: TX
ZIP: 78717
D
1
primary_doc.xml
X0708
D
LIVE
0001289828
Treasure Valley Urology Services LLC
9825 SPECTRUM DRIVE
BUILDING 3
AUSTIN
TX
TEXAS
78717
866-598-2734
IDAHO
None
None
Limited Liability Company
true
Lithotripters
Inc.
9825 Spectrum Drive
Bldg. 3
Austin
TX
TEXAS
78717
Director
Management Agent
Other Health Care
Decline to Disclose
- 06b
false
2020-11-18
false
true
false
2829
28292
28292
0
false
2
0
0
0
false
Treasure Valley Urology Services LLC
/s/ Debra J. Scott
Debra J. Scott
Vice President of Management Agent of Issuer
2020-11-19