# CARDIOSOM, LLC

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

## Provider details

- **NPI number:** 1851511042
- **Authorized official:** MR. JAY JARRELL (PRESIDENT/COO)
- **Authorized official phone:** (317) 706-1080

## Contact information

- **Practice address:** 361 QUARTERMASTER CT, JEFFERSONVILLE, IN 47130-3670
- **Practice address phone:** (812) 284-4306
- **Practice address fax:** (812) 284-4653
- **Mailing address:** 615 W. CARMEL DR., SUITE 100, CARMEL, IN 46032-5504
- **Mailing address phone:** (317) 706-1080
- **Mailing address fax:** (317) 574-8674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 69000296A | IN | Yes |

## Other

- **Enumeration date:** 04/27/2007
- **Last updated:** 08/10/2010