Healthcare Provider Details

I. General information

NPI: 1326989724
Provider Name (Legal Business Name): ORIOLUM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 RUSS ST FL 3
HARTFORD CT
06106-1520
US

IV. Provider business mailing address

36 RUSS ST FL 3
HARTFORD CT
06106-1520
US

V. Phone/Fax

Practice location:
  • Phone: 959-276-0724
  • Fax:
Mailing address:
  • Phone: 959-276-0724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MS. JASONI YORK
Title or Position: CEO
Credential:
Phone: 959-276-0724