CARDIOSOM, LLC; NPI #1114937893

Contact Information

CARDIOSOM, LLC

17527 RIVER ROAD
NOBLESVILLE, IN 46062-8528

Phone: 317-219-3360
Fax: 317-219-3335
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oxygen Equipment & Supplies	332BX2000X	B1	Oxygen supplier

Indicates primary specialty

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NPI Profile & details for CARDIOSOM, LLC

NPI # 1114937893

LBN Legal business name CARDIOSOM, LLC

Authorized official JAY JARRELL - (PRESIDENT/COO)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/08/2006

Last updated 08/10/2010 - About 16 years ago

Identifiers

IN	License #	69000012A
IN	Medicaid	200835690A

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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