Organization
CARDIOSOM, LLC
Active
Other names
CardioSom of Muncie
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY JARRELL (PRESIDENT/COO)
(317) 706-1080
Entity
Organization
Contact information
Practice address
1200 S TILLOTSON OPAS, SUITE 3, MUNCIE, IN 47304-4806
(765) 282-7119
(765) 282-6456
Mailing address
615 W CARMEL DR, CARMEL, IN 46032-2996
(800) 868-1920
(800) 868-1908
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
69000294A
IN
Other
Enumeration date
04/24/2007
Last updated
07/28/2010
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