# CARDIOSOM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CardioSom of Dallas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033370275
- **Authorized official:** MR. JAY JARRELL (PRESIDENT COO)
- **Authorized official phone:** (800) 868-1920

## Contact information

- **Practice address:** 8338 STERLING ST, IRVING, TX 75063-2593
- **Practice address phone:** (800) 868-1920
- **Practice address fax:** (800) 868-1908
- **Mailing address:** 2000 MOMENTUM PL, CHICAGO, IL 60689-0001
- **Mailing address phone:** (800) 868-1920
- **Mailing address fax:** (800) 868-1908

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 06/20/2008
- **Last updated:** 07/28/2010