Organization
ALTA MEDGEN NV LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALJA BACKO (CEO)
(954) 662-5044
Entity
Organization
Contact information
Practice address
5440 W SAHARA AVE STE 205, LAS VEGAS, NV 89146-0361
(725) 204-7835
Mailing address
5440 W SAHARA AVE STE 205, LAS VEGAS, NV 89146-0361
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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