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Meridian Dermatology PLLC

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Company Details

Name: Meridian Dermatology PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 05 Oct 2021 (4 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 4438921
Place of Formation: IDAHO
File Number: 785029
ZIP code: 83646
County: Ada County
Principal Address: SUITE 101 3250 N LESLIE WAY MERIDIAN, ID 83646
Mailing Address: 3467 W STAR HOLLOW DR MERIDIAN, ID 83646-4991

Agent

Name Role Address
Ryan Harris Agent 3250 N LESLIE WAY, SUITE 110, MERIDIAN, ID 83646

Manager

Name Role Address Appointed On
Ryan Harris Manager 3250 N LESLIE WAY, MERIDIAN, ID 83646 2022-09-05

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:
XXDECE2JEQ64
UEI Expiration Date:
2025-10-07

Business Information

Activation Date:
2024-10-09
Initial Registration Date:
2024-10-07

National Provider Identifier

NPI Number:
1780346809
Certification Date:
2023-02-22

Authorized Person:

Name:
RYAN JEFFREY HARRIS
Role:
OWNER, PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005896935 2024-09-11
Annual Report 0005400625 2023-09-13
Annual Report 0004883515 2022-09-05
Initial Filing 0004438921 2021-10-05

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Date of last update: 20 May 2025

Sources: Idaho Secretary of State