Athlon Med Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ATHLON MED SUPPLY LLC

Doing business as

Athlon med supply llc

Practice address

611 E Grand Ave Ste 1C
Beloit, WI 53511-6399

Phone

(331) 551-3848

NPI assigned

Jul 18, 2024

Last updated

Jul 18, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Muhammad Tanveer Khan

Title

Ceo

Phone

(331) 551-3848

Specialties & licenses 1

Addresses

Other names 1

• Athlon med supply llc Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1194563544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E GRAND AVE STE 1C",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535116399",
            "telephone_number": "331-551-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E GRAND AVE STE 1C",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535116399",
            "telephone_number": "331-551-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLON MED SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "TANVEER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "331-551-3848",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athlon med supply llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Beloit, WI
• Providers in Beloit, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.