Provider Demographics
NPI:1396569695
Name:ELITE MED SUPPLY
Entity type:Organization
Organization Name:ELITE MED SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:AKBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-581-5711
Mailing Address - Street 1:4515 NORTH RIVER BLVD NE
Mailing Address - Street 2:SUITE 200-B01
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52411
Mailing Address - Country:US
Mailing Address - Phone:779-500-9557
Mailing Address - Fax:
Practice Address - Street 1:4515 NORTH RIVER BLVD NE
Practice Address - Street 2:SUITE 200-B01
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52411
Practice Address - Country:US
Practice Address - Phone:608-581-5571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-13
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies