Provider Demographics
NPI:1114302486
Name:CONNECT DME, LLC
Entity Type:Organization
Organization Name:CONNECT DME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:FARROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-851-6249
Mailing Address - Street 1:5930 E 31ST ST STE 300
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-5111
Mailing Address - Country:US
Mailing Address - Phone:918-851-6249
Mailing Address - Fax:918-515-6171
Practice Address - Street 1:5930 E 31ST ST STE 300
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-5111
Practice Address - Country:US
Practice Address - Phone:918-600-5799
Practice Address - Fax:918-515-6171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-28
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies