Organization
CARDIOSOM, LLC
Active
Other names
CardioSom of Dallas
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY JARRELL (PRESIDENT COO)
(800) 868-1920
Entity
Organization
Contact information
Practice address
8338 STERLING ST, IRVING, TX 75063-2593
(800) 868-1920
(800) 868-1908
Mailing address
2000 MOMENTUM PL, CHICAGO, IL 60689-0001
(800) 868-1920
(800) 868-1908
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201619801
—
TX
Enumeration date
06/20/2008
Last updated
07/28/2010
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