| NPI | 1164158556 |
|---|---|
| Former Legal Business Name | NATIONAL RETAIL LLC |
| Entity Type | Organization |
| Authorized Contact | AMIT ELFACI Owner 702-874-4434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-08-01 |