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NATIONAL RETAIL LLC
NPI 1104544220
Family Medicine in Las Vegas, NV

Active since August 15, 2022
4260 CAMERON ST STE A, LAS VEGAS, NV 89103(702) 853-5055 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About National Retail Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATIONAL RETAIL LLC (NPI 1104544220) is a healthcare organization registered as a family medicine in Las Vegas, Nevada and active in the NPI registry since August 2022. The organization lists Adin Boldur, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1104544220
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNATIONAL RETAIL LLC
Location Address4260 CAMERON ST STE ALas Vegas, NV 89103-3718
Mailing Address4260 Cameron St Ste ALas Vegas, NV 89103-3718
Phone(702) 853-5055
Organization SubpartNo
Authorized OfficialAdin BoldurMedical Director · (702) 853-5055
Enumeration DateAugust 15, 2022
Last NPPES UpdateAugust 16, 2022
NPPES CertifiedAugust 16, 2022
✔ NPI 1104544220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4260 CAMERON ST STE A, Las Vegas, NV 89103
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Other Identifiers 1

OtherNV20131357533NV · Secretary Of State

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATIONAL RETAIL LLC
Clinical Medical Laboratory
4260 CAMERON ST STE A
LAS VEGAS, NV 89103
Clark County (702) 874-4434

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is National Retail LLC's NPI number?

The NPI number for National Retail LLC is 1104544220. It was assigned to this organization in the NPPES registry on August 15, 2022.

Where is National Retail LLC located?

National Retail LLC is located at 4260 Cameron St Ste A, Las Vegas, NV 89103. The listed phone number is (702) 853-5055.

What is National Retail LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for National Retail LLC was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.