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S. Albertson Dermatology and Skin Cancer Center LLC

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Company Details

Name: S. Albertson Dermatology and Skin Cancer Center LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 06 May 2021 (4 years ago)
Financial Date End: 31 May 2026
Entity Number: 4276291
Place of Formation: IDAHO
File Number: 762257
ZIP code: 83404
County: Bonneville County
Principal Address: STE J 2375 E SUNNYSIDE RD IDAHO FALLS, ID 83404
Mailing Address: STE J 2375 E SUNNYSIDE RD IDAHO FALLS, ID 83404-8281

Agent

Name Role Address
Stetson Albertson Agent 2375 E SUNNYSIDE RD, SUITE J, IDAHO FALLS, ID 83404

Manager

Name Role Address Appointed On
Stetson Albertson Manager 2375 E SUNNYSIDE RD, IDAHO FALLS, ID 83404 2022-08-15

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
DY3SDBTMURA7
UEI Expiration Date:
2025-12-31

Business Information

Division Name:
S. ALBERTSON DERMATOLOGY AND SKIN CANCER CENTER
Activation Date:
2025-01-02
Initial Registration Date:
2024-01-24

National Provider Identifier

NPI Number:
1316521602
Certification Date:
2021-08-09

Authorized Person:

Name:
STETSON ALBERTSON
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207ND0101X - MOHS-Micrographic Surgery Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006311937 2025-06-10
Annual Report 0005667387 2024-04-03
Annual Report 0005218696 2023-05-03
Application for Reinstatement 0004860871 2022-08-15
Dissolution/Revocation - Administrative 0004858277 2022-08-12

USAspending Awards / Financial Assistance

Date:
2021-08-12
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
175500.00
Total Face Value Of Loan:
175500.00
Date:
2021-08-12
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
25000.00
Total Face Value Of Loan:
25000.00

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Date of last update: 08 Jul 2025

Sources: Idaho Secretary of State