Organization
CARDIOSOM, LLC
Active
Other names
CardioSom of Marion
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY JARRELL (PRESIDENT/ COO)
(317) 706-1080
Entity
Organization
Contact information
Practice address
1397 N BALDWIN AVE, MARION, IN 46952-1913
(800) 868-1920
(800) 868-1908
Mailing address
75 REMITTANCE DR, SUITE 8212, CHICAGO, IL 60675-8212
(317) 706-1080
(317) 706-1022
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
03/13/2009
Last updated
01/25/2011
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