Organization
CARDIOSOM, LLC
Active
Other names
CardioSom of Houma
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY JARRELL (PRESIDENT COO)
(317) 706-1080
Entity
Organization
Contact information
Practice address
120 PROGRESSIVE BLVD, SUITE 101, HOUMA, LA 70360-4083
(985) 876-5562
(985) 876-6396
Mailing address
615 W CARMEL DR, SUITE 100, CARMEL, IN 46032-2996
(800) 868-1920
(800) 868-1908
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
55-0011705
LA
Other
Enumeration date
04/24/2007
Last updated
07/28/2010
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