Provider Demographics
NPI:1003360975
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, CRTS
Authorized Official - Phone:918-622-8901
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 1:941 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-4437
Practice Address - Country:US
Practice Address - Phone:918-203-0003
Practice Address - Fax:918-622-8999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-09
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies