Active Lifestyle Medical, Llc
Durable Medical Equipment & Medical Supplies
5455 S Mingo Rd Ste E, Tulsa
Oklahoma, 74146-5724
918-576-6765 888-605-4113
Active Lifestyle Medical, Llc is a Durable Medical Equipment & Medical Supplies in Tulsa, Oklahoma. It is located at 5455 S Mingo Rd Ste E, Tulsa and it's customer support contact number is 918-576-6765. The authorized person of Active Lifestyle Medical, Llc is Mrs. Robbie L. Ely, CPED, LPED, CFO who is President of this DME and her contact number is 918-520-8008.
Active Lifestyle Medical, Llc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Active Lifestyle Medical, Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Active Lifestyle Medical, Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 5455 S Mingo Rd Ste E, Tulsa,
Oklahoma, 74146-5724 |
| Phone: | 918-576-6765 |
| Fax: | 888-605-4113 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Robbie L. Ely |
| Credentials: | CPED, LPED, CFO |
| Position: | President |
| Contact Number: | 918-520-8008 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1902370885 |
| NPI Enumeration Date: | 14 Jan, 2019 |
| NPI Last Update On: | 18 May, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Active Lifestyle Medical, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| O20190822002462 | Other | Oklahoma | Managed Plans |
| O20190822002462 | Other | Missouri | Managed Plans |
| O20190822002462 | Medicaid | Missouri | |
| O20190822002462 | Medicaid | Oklahoma | |
| O20190822002462 | Other | Kansas | Managed Plans |
| O20190822002462 | Medicaid | Kansas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5455 S Mingo Rd Ste E,
Tulsa, Oklahoma |
| Zip: | 74146-5724 |
| Phone Number: | 918-576-6765 |
| Fax Number: | 888-605-4113 |
Patients can reach Active Lifestyle Medical, Llc at
5455 S Mingo Rd Ste E, Tulsa, Oklahoma or can
call on customer care at 918-576-6765.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.