# CARDIOSOM, LLC

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

## Provider details

- **NPI number:** 1114072741
- **Authorized official:** MR. JAY JARRELL (PRESIDENTCOO)
- **Authorized official phone:** (317) 706-1080

## Contact information

- **Practice address:** 2001 W ORANGE GROVE RD, SUITE 508, TUCSON, AZ 85704-1139
- **Practice address phone:** (520) 575-0750
- **Practice address fax:** (520) 575-0745
- **Mailing address:** 615 W CARMEL DR, SUITE 100, CARMEL, IN 46032-2996
- **Mailing address phone:** (317) 706-1080
- **Mailing address fax:** (800) 868-1908

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 000614 | AZ | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 07/28/2010
