Provider Demographics
NPI:1003215096
Name:ASM, LLC
Entity Type:Organization
Organization Name:ASM, LLC
Other - Org Name:ACTION SEATING & MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:ATP, CTRS
Authorized Official - Phone:918-622-8999
Mailing Address - Street 1:5807 S GARNETT RD STE H
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74146-6824
Mailing Address - Country:US
Mailing Address - Phone:918-622-8999
Mailing Address - Fax:918-622-8901
Practice Address - Street 1:9871 BROCKINGTON RD STE 6
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120-3592
Practice Address - Country:US
Practice Address - Phone:918-622-8999
Practice Address - Fax:918-622-8901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-15
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200108320AMedicaid
OK200108320AMedicaid