# CARDIOSOM, LLC

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

## Provider details

- **NPI number:** 1770773194
- **Authorized official:** KEVIN GREISL (PRESIDENTCOO)
- **Authorized official phone:** (317) 706-1080

## Contact information

- **Practice address:** 523 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-3444
- **Practice address phone:** (859) 341-6333
- **Practice address fax:** (859) 341-1480
- **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:** 08/01/2007
- **Last updated:** 10/30/2008