| NPI | 1770773194 |
|---|---|
| Doing Business As | CARDIOSOM OF EDGEWOOD |
| Entity Type | Organization |
| Authorized Contact | KEVIN GREISL President COO 317-706-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2008-10-30 |