NPI | 1407073182 |
---|---|
Doing Business As | CARDIOSOM OF PEORIA |
Entity Type | Organization |
Authorized Contact | KEVIN GREISL COO President 317-706-1080 |
Organization Subpart ? | No |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IL 203.000894) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2007-10-25 |