# CARDIOSOM, LLC

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

## Provider details

- **NPI number:** 1114188349
- **Authorized official:** KEVIN GREISL (PRESIDENT COO)
- **Authorized official phone:** (800) 868-1920

## Contact information

- **Practice address:** 124 ABBIE AVE, KANSAS CITY, KS 66103-1304
- **Practice address phone:** (800) 868-1920
- **Practice address fax:** (800) 868-1908
- **Mailing address:** 615 W CARMEL DR, SUITE 100, CARMEL, IN 46032-2996
- **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:** 10/13/2009