Organization
CARDIOSOM, LLC
Active
Other names
CardioSom of Cincinnati
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY JARRELL (PRESIDENT/COO)
(317) 706-1080
Entity
Organization
Contact information
Practice address
7616 COX LN, WEST CHESTER, OH 45069-6547
(513) 755-9081
(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
HMEL 11245
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HMEL 11245
STATE HME LICENSE
OH
Enumeration date
01/05/2007
Last updated
08/10/2010
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