Organization
CARDIOSOM, LLC
Active
Other names
CardioSom of Noblesville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY JARRELL (PRESIDENT/COO)
(317) 706-1080
Entity
Organization
Contact information
Practice address
17527 RIVER ROAD, NOBLESVILLE, IN 46062-8528
(317) 219-3360
(317) 219-3335
Mailing address
615 W. CARMEL DR., SUITE 100, CARMEL, IN 46032-5504
(317) 706-1080
(317) 574-8674
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
69000012A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200835690A
—
IN
Enumeration date
08/08/2006
Last updated
08/10/2010
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