MEDELLA ON THE GO
NPI 1790493401
Clinic/Center in Las Vegas, NV

Q: What is Medella Family Clinic LLC's NPI number?

The NPI number for Medella Family Clinic LLC is 1790493401. It was assigned to this organization in the NPPES registry on November 10, 2022. The provider is doing business as Medella On The Go.

Q: What is Medella Family Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since November 10, 2022

4760 S PECOS RD STE 103-4, LAS VEGAS, NV 89121(725) 247-6858 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 6, 2022, Nov 10, 2022 (2 updates tracked since 2022).

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About Medella On The Go NPPES

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

MEDELLA ON THE GO (NPI 1790493401) is a healthcare organization registered as a clinic/center in Las Vegas, Nevada and active in the NPI registry since November 2022. The organization maintains a secondary practice location in Las Vegas and lists Alexander Rasavong, Administrator, as its authorized official.

NPPES Registry Identity

NPI1790493401

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameMEDELLA FAMILY CLINIC LLC

Location Address4760 S PECOS RD STE 103-4Las Vegas, NV 89121-6038

Mailing Address4760 S Pecos Rd Ste 103-4Las Vegas, NV 89121-6038

Phone(725) 247-6858

Organization SubpartNo

Authorized OfficialAlexander RasavongAdministrator · (725) 247-6858

Enumeration DateNovember 10, 2022

Last NPPES UpdateApril 26, 20232 updates tracked since enumeration

NPPES CertifiedApril 26, 2023

✔ NPI 1790493401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

4760 S PECOS RD STE 103-4, Las Vegas, NV 89121

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Other Names 1

Doing Business AsMedella On The Go

Secondary Practice Location 1

Location 13920 E Patrick Ln Ste 8Las Vegas, NV 89120-3927 · Phone (702) 533-5669

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 Medella Family Clinic LLC's NPI number?

The NPI number for Medella Family Clinic LLC is 1790493401. It was assigned to this organization in the NPPES registry on November 10, 2022. The provider is doing business as Medella On The Go.

Where is Medella Family Clinic LLC located?

Medella Family Clinic LLC is located at 4760 S Pecos Rd Ste 103-4, Las Vegas, NV 89121. The listed phone number is (725) 247-6858.

What is Medella Family Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Medella Family Clinic LLC was last updated on April 26, 2023. 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.