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Organization

NATIONAL RETAIL LLC

Active
Other names
National Retail LLC
Organization subpart
No

Provider details

NPI number
Authorized official
AMIT ELFACI (OWNER)
(702) 874-4434
Entity
Organization

Contact information

Practice address
4260 CAMERON ST STE A, LAS VEGAS, NV 89103-3718
(702) 874-4434
Mailing address
4260 CAMERON ST STE A, LAS VEGAS, NV 89103-3718
(702) 874-4434

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NV20132357533
SECRETARY OF STATE
NV
Enumeration date
07/27/2022
Last updated
08/01/2022
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