Organization
CARDIOSOM, LLC
Active
Other names
CardioSom of Indianapolis
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY JARRELL (PRESIDENT/COO)
(317) 706-1080
Entity
Organization
Contact information
Practice address
10580 N MERIDIAN ST, SUITE 400, INDIANAPOLIS, IN 46290-1028
(800) 868-1920
(800) 868-1908
Mailing address
75 REMITTANCE DR, SUITE 8212, CHICAGO, IL 60675-8212
(800) 868-1920
(800) 868-1908
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200536470E
—
IN
Enumeration date
04/17/2008
Last updated
12/02/2010
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