National Retail LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NATIONAL RETAIL LLC

Practice address

4260 Cameron St Ste a
Las Vegas, NV 89103-3718

Phone

(702) 874-4434

NPI assigned

Jul 27, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amit Elfaci

Title

Owner

Phone

(702) 874-4434

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• National Retail LLC Former legal business name

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adin Boldur, MD

  • Nephrology Physician
  • Las Vegas, NV
  • NPI 1619914066
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1164158556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 CAMERON ST STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033718",
            "telephone_number": "702-874-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4260 CAMERON ST STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033718",
            "telephone_number": "702-874-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL RETAIL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "ELFACI",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-874-4434"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECRETARY OF STATE",
            "identifier": "NV20132357533",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "LVCOVIDTEST@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "COMPANY EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4260 Cameron St Ste A",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891033718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "National Retail LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• National Health RX LLC
• National Hearing Aid Centers
• National Medical Source LLC
• National Nuclear Energy Healthcare LLC
• National Retail LLC
• National Specialty Pharmacy LLC
• National Vision Inc
• National Vision, Inc.
• National Vision, Inc.
• National Vision, Inc.

• Clinical Medical Laboratory in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Medical Laboratory in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.