# ELITE MEDICAL SUPPLY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699688408
- **Authorized official:** SADIA SHOIAB (OWNER)
- **Authorized official phone:** (346) 359-9836

## Contact information

- **Practice address:** 2745 W LAYTON AVE STE 101, GREENFIELD, WI 53221-2651
- **Practice address phone:** (346) 359-9836
- **Mailing address:** 2745 W LAYTON AVE STE 101, GREENFIELD, WI 53221-2651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/23/2026
- **Last updated:** 09/23/2026