0001289828-21-000001.txt : 20211208 0001289828-21-000001.hdr.sgml : 20211208 20211208170842 ACCESSION NUMBER: 0001289828-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211208 DATE AS OF CHANGE: 20211208 EFFECTIVENESS DATE: 20211208 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: 021-424225 FILM NUMBER: 211479446 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 2021-12-06 false true false 3335 33355 33355 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 2021-12-08