MEDICARE: ASM LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1316663347
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASM LLC

Provider Business Mailing Address
First Line	:	5807 S GARNETT RD STE H
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74146-6824
Country	:	US
Telephone Number	:	918-622-8999
Fax Number	:	918-622-8901

Provider Business Practice Location Address
First Line	:	3812 NE 104TH ST # 200
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73131-5204
Country	:	US
Telephone Number	:	405-227-0766
Fax Number	:	405-227-0525

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MIKE A HARRIS
Credential	:
Telephone Number	:	918-622-8999

Provider Enumeration Date	:	10/12/2022
Last Update Date	:	04/11/2025

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Directions to “ASM LLC ” Practice Location

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