Organization
CARDIOSOM, LLC
Active
Other names
CardioSom Of Piedmont
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY JARRELL (PRESIDENT/COO)
(317) 706-1080
Entity
Organization
Contact information
Practice address
105 VINE CREST COURT, GREENWOOD, SC 29646
(864) 943-4855
(800) 868-1908
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
9020
SC
Other
Enumeration date
09/12/2006
Last updated
08/10/2010
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