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MERIDIAN PHYSICAL MEDICINE LLC

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Company Details

Name: MERIDIAN PHYSICAL MEDICINE LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 29 Sep 2016 (9 years ago)
Financial Date End: 30 Sep 2017
Date dissolved: 28 Dec 2017
Entity Number: 522580
Place of Formation: IDAHO
File Number: 0000522580
ZIP code: 83642
County: Ada County
Principal Address: 2016 S EAGLE RD STE B MERIDIAN, ID 83642

National Provider Identifier

NPI Number:
1881144780

Authorized Person:

Name:
MAKAYLA RUNYAN
Role:
VICE PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2088876797

Filing

Filing Name Filing Number Filing date
Legacy Amendment 0003120678 2017-11-28
Initial Filing 0000522580 2016-09-29

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State