Organization Active NPI

Atlas Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Carrollton, TX
National Provider Identifier
1093696742
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Jun 22, 2026

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2332090Atlas Medical Supply LLC2640 Old Denton Rd Ste 240, Carrollton, TX 75007Certificate of waiverOct 13, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.