Organization
CARDIOSOM, LLC
Active
Other names
CardioSom of Whitehall
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY JARRELL (PRESIDENT/COO)
(317) 706-1080
Entity
Organization
Contact information
Practice address
5150 E MAIN ST, SUITE 105, WHITEHALL, OH 43213-2441
(614) 861-8240
(614) 861-8260
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
02-1701450
OH
Other
Enumeration date
03/16/2007
Last updated
08/10/2010
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