Active NPI
Cardiosom, LLC
Doing business as CardioSom of Tucson
- Oxygen Equipment & Supplies (DME)
- Tucson, AZ
National Provider Identifier
1114072741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 000614
- Legal business name
- CARDIOSOM, LLC
- Doing business as
- CardioSom of Tucson
- Practice address
- 2001 W Orange Grove Rd
Suite 508
Tucson, AZ 85704-1139 - Phone
- (520) 575-0750
- Fax
- (520) 575-0745
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jay Jarrell
- Title
- Presidentcoo
- Phone
- (317) 706-1080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 000614 | AZ | Primary |
Addresses
Primary practice location
2001 W Orange Grove Rd
Suite 508
Tucson, AZ 85704-1139
Mailing address
615 W Carmel Dr
Suite 100
Carmel, IN 46032-2996
Phone (317) 706-1080
Other names 1
- CardioSom of Tucson
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba CardioSom
- Durable Medical Equipment & Medical Supplies
- Fountain Valley, CA
- NPI 1801001953
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280275200000",
"number": "1114072741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 W CARMEL DR",
"address_2": "SUITE 100",
"city": "CARMEL",
"state": "IN",
"postal_code": "460322996",
"telephone_number": "317-706-1080",
"fax_number": "800-868-1908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 W ORANGE GROVE RD",
"address_2": "SUITE 508",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857041139",
"telephone_number": "520-575-0750",
"fax_number": "520-575-0745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOSOM, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2010-07-28",
"status": "A",
"authorized_official_last_name": "JARRELL",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "PRESIDENTCOO",
"authorized_official_telephone_number": "317-706-1080",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "AZ",
"license": "000614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CardioSom of Tucson",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.