Active NPI
Atlas Medical Supply LLC
- Durable Medical Equipment & Medical Supplies
- Carrollton, TX
National Provider Identifier
1093696742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ATLAS MEDICAL SUPPLY LLC
- Practice address
- 2640 Old Denton Rd Ste 240
Carrollton, TX 75007-5453 - Phone
- (469) 758-0055
- NPI assigned
- Sep 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Infant Coronado
- Title
- Owner
- Phone
- (469) 758-0055
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2640 Old Denton Rd Ste 240
Carrollton, TX 75007-5453
Mailing address
2640 Old Denton Rd Ste 240
Carrollton, TX 75007-5453
Phone (469) 758-0055
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2332090 | Atlas Medical Supply LLC | Certificate of waiver | Oct 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
2640 Old Denton Rd
Ste 240
Carrollton, TX 75007
Phone (469) 492-6966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782086400000",
"number": "1093696742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 OLD DENTON RD STE 240",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750075453",
"telephone_number": "469-758-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 OLD DENTON RD STE 240",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750075453",
"telephone_number": "469-758-0055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLAS MEDICAL SUPPLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-09",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A",
"authorized_official_last_name": "CORONADO",
"authorized_official_first_name": "INFANT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "469-758-0055"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.