Provider Demographics
NPI:1932552163
Name:BLOOMFIELD VENTURES CORPORATION
Entity Type:Organization
Organization Name:BLOOMFIELD VENTURES CORPORATION
Other - Org Name:ACROSS MEDICAL SUPPLY SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SOPHIA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:CUTTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-322-0187
Mailing Address - Street 1:12808 W AIRPORT BLVD STE 252
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-6400
Mailing Address - Country:US
Mailing Address - Phone:347-820-4701
Mailing Address - Fax:
Practice Address - Street 1:12808 W AIRPORT BLVD STE 252
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-6400
Practice Address - Country:US
Practice Address - Phone:818-322-0187
Practice Address - Fax:818-322-0187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-23
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies