Provider Demographics
NPI:1225345044
Name:CLOUD MANAGED SERVICES GROUP, INC
Entity Type:Organization
Organization Name:CLOUD MANAGED SERVICES GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER/FOUNDER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CARPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-482-1842
Mailing Address - Street 1:1212 ALVERSER PLZ
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-2628
Mailing Address - Country:US
Mailing Address - Phone:804-330-2600
Mailing Address - Fax:
Practice Address - Street 1:1212 ALVERSER PLZ
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-2628
Practice Address - Country:US
Practice Address - Phone:804-330-2600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAR07081000332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies