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CARESOURCE-TULSA, LLC
NPI 1013024710
Durable Medical Equipment & Medical Supplies in Broken Arrow, OK

Active since August 25, 2006CLIA Certified · 2 labs
1400 SW EXPRESSWAY DR, BROKEN ARROW, OK 74012(918) 250-7051(918) 392-3442 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Caresource-tulsa, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARESOURCE-TULSA, LLC (NPI 1013024710) is a healthcare organization registered as a durable medical equipment & medical supplies in Broken Arrow, Oklahoma and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists Larry Pierce, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1013024710
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameCARESOURCE-TULSA, LLC
Location Address1400 SW EXPRESSWAY DRBroken Arrow, OK 74012
Mailing AddressPo Box 270214Oklahoma City, OK 73137-0214 · (918) 250-7051 · Fax (918) 392-3442
Phone(918) 250-7051
Fax(918) 392-3442
Organization SubpartNo
Authorized OfficialLarry PierceExecutive Director · (405) 948-2822
Enumeration DateAugust 25, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1013024710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
1400 SW EXPRESSWAY DR, Broken Arrow, OK 74012
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Other Identifiers 1

Medicaid200074940AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2195890

Caresource, LLC · Broken Arrow, OK
Active · expires Oct 12, 2026
CLIA Number37D2195890
Laboratory TypeDme/Cpap Provider
Certificate Effective DateOctober 13, 2024
Certificate Expiration DateOctober 12, 2026
Laboratory DirectorLaura Trammell-Dawson
Laboratory Phone(918) 250-7051
Laboratory LocationCaresource, LLC1400 SW Expressway Dr, Broken Arrow, OK 74012
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 37D2192742

Caresource, LLC · Oklahoma City, OK
Active · expires Sep 13, 2026
CLIA Number37D2192742
Laboratory TypeDme/Cpap Provider
Certificate Effective DateSeptember 14, 2024
Certificate Expiration DateSeptember 13, 2026
Laboratory DirectorLaura Trammell-Dawson
Laboratory Phone(405) 948-2822
Laboratory LocationCaresource, LLC4350 Will Rodgers Prkwy, Ste 102, Oklahoma City, OK 73108
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caresource-Tulsa, LLC's NPI number?

The NPI number for Caresource-Tulsa, LLC is 1013024710. It was assigned to this organization in the NPPES registry on August 25, 2006.

Where is Caresource-Tulsa, LLC located?

Caresource-Tulsa, LLC is located at 1400 SW Expressway Dr, Broken Arrow, OK 74012. The listed phone number is (918) 250-7051.

What is Caresource-Tulsa, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Caresource-Tulsa, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Caresource-Tulsa, LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Caresource-Tulsa, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Caresource-Tulsa, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.