Cardiosom, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

CARDIOSOM, LLC

Doing business as

CardioSom of Indianapolis

Practice address

10580 N Meridian St
Suite 400
Indianapolis, IN 46290-1028

Phone

(800) 868-1920

Fax

(800) 868-1908

NPI assigned

Apr 17, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jay Jarrell

Title

President/Coo

Phone

(317) 706-1080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CardioSom of Indianapolis Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Pacific Sleep Medicine Services Inc

  dba CardioSom

  • Durable Medical Equipment & Medical Supplies
  • Fountain Valley, CA
  • NPI 1801001953

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1932373222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMITTANCE DR",
            "address_2": "SUITE 8212",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606758212",
            "telephone_number": "800-868-1920",
            "fax_number": "800-868-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10580 N MERIDIAN ST",
            "address_2": "SUITE 400",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901028",
            "telephone_number": "800-868-1920",
            "fax_number": "800-868-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOSOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "JARRELL",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT/COO",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200536470E",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CardioSom of Indianapolis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cardiothoracic Anesthesia of Indiana, PC
• Cardiothoracic Surgeons Inc.
• Cardiothoracic Surgeons of Indiana LLC
• Cardiothoracic Surgeons Pediatrics LLC
• Amy Crystal Cardis, OD

• Oxygen Equipment & Supplies (DME) in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Oxygen Equipment & Supplies (DME) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.