BLOOMFIELD ASC LLC
NPI 1255797726
Clinic/Center - Ambulatory Surgical in Bloomfield, CT
NPI Status: Active since January 13, 2016
Contact Information
580 COTTAGE GROVE RD
SUITE 103
BLOOMFIELD, CT
ZIP 06002
Phone: (914) 556-6266
Fax: (860) 955-2957
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 07D2108772
- CLIA Cert. Type: Waiver
- CLIA Exp. Date: 02-10-2026
About BLOOMFIELD ASC LLC
Bloomfield Asc Llc is a provider established in Bloomfield, Connecticut operating as a Clinic/center with a focus in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1255797726 assigned on January 2016. The practitioner's primary taxonomy code is 261QA1903X with license number 0350 (CT). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mrs. Carissa Beaulieu (Administrator)
- NPI
- 1255797726
- Provider Name
- BLOOMFIELD ASC LLC
- Entity Type
- Organization
- Location Address
- 580 COTTAGE GROVE RD SUITE 103 BLOOMFIELD, CT 06002
- Location Phone
- (914) 556-6266
- Location Fax
- (860) 955-2957
- Mailing Address
- 580 COTTAGE GROVE RD STE 211 BLOOMFIELD, CT 06002
- Mailing Phone
- (860) 242-2193
- Mailing Fax
- (860) 955-2957
- Is Sole Proprietor?
- N/A
- Is Organization Subpart?
- No
- Enumeration Date
- 01-13-2016
- Last Update Date
- 12-21-2020
- Code Navigator
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- 0350
- License State
- CT
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 07D2108772
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- February 11, 2024
- Certificate Expiration Date
- February 10, 2026
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bloomfield Asc Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 7 | 9 | 7 | 7 | 2 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 14 | 9 | 14 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 1 + 4 + 9 + 1 + 4 + 7 + 4 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1255797726 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1437194040 | DR. PANOS A LIVADIOTIS M.D., FACS Individual | Specialist | 580 COTTAGE GROVE RD SUITE 104 BLOOMFIELD, CT 06002 (860) 286-1110 |
| 1508898339 | DR. MICHAEL M KRINSKY MD Individual | Psychiatry & Neurology (Neurology) | 580 COTTAGE GROVE RD BLOOMFIELD, CT 06002 (860) 243-9709 |
| 1629003918 | GARY LEE LAST MD Individual | Dermatology | 580 COTTAGE GROVE RD SUITE 207 BLOOMFIELD, CT 06002 (860) 242-8644 |
| 1205847241 | DR. ROCHELLE L COLLINS DO Individual | Family Medicine | 580 COTTAGE GROVE RD SUITE 210 BLOOMFIELD, CT 06002 (860) 243-3315 |
| 1932291523 | DR. NATHAN ROBERTO FISCHER M.D. Individual | Specialist | 580 COTTAGE GROVE RD BLOOMFIELD, CT 06002 (860) 242-6261 |
| 1023169000 | DR. PATRICK RALPH FELICE M.D. Individual | Plastic Surgery | 580 COTTAGE GROVE RD SUITE 103 BLOOMFIELD, CT 06002 (860) 242-0505 |
| 1710093851 | RICHARD I STONE MD Individual | Internal Medicine (Gastroenterology) | 580 COTTAGE GROVE RD STE 201 BLOOMFIELD, CT 06002 (860) 242-5580 |
| 1578643672 | STONE, GOLDENBERG & DHARAN LLP Organization | Internal Medicine (Gastroenterology) | 580 COTTAGE GROVE RD SUITE 201 BLOOMFIELD, CT 06002 (860) 242-5580 |
| 1700023603 | MARYBETH REILEY NORMAN APRN Individual | Nurse Practitioner | 580 COTTAGE GROVE RD SUITE 205 BLOOMFIELD, CT 06002 (860) 286-2996 |
| 1710099288 | AMAL DAS MD Individual | Obstetrics & Gynecology (Gynecology) | 580 COTTAGE GROVE RD STE 206 BLOOMFIELD, CT 06002 (860) 242-0774 |
| 1013955012 | CONNECTICUT NEUROLOGY CONSULTANTS PC Organization | Psychiatry & Neurology (Neurology) | 580 COTTAGE GROVE RD #106 BLOOMFIELD, CT 06002 (860) 243-9709 |
| 1952479818 | HARTFORD ASSOCIATES IN OB-GYN, P.C Organization | Obstetrics & Gynecology (Gynecology) | 580 COTTAGE GROVE RD SUITE 208 BLOOMFIELD, CT 06002 (860) 243-9725 |
| 1346264413 | GARY COHEN MD Individual | Internal Medicine | 580 COTTAGE GROVE RD SUITE 107 BLOOMFIELD, CT 06002 (860) 243-8709 |
| 1326062498 | SHEILA SILVERMAN MD Individual | Internal Medicine | 580 COTTAGE GROVE RD SUITE 107 BLOOMFIELD, CT 06002 (860) 243-8709 |
| 1326062480 | EDWIN FIERER MD Individual | Internal Medicine | 580 COTTAGE GROVE RD SUITE 107 BLOOMFIELD, CT 06002 (860) 243-8709 |
| 1215958301 | IRINA MUNI MD Individual | Internal Medicine | 580 COTTAGE GROVE RD SUITE 107 BLOOMFIELD, CT 06002 (860) 243-8709 |
| 1992729040 | RONALD SZABO MD Individual | Internal Medicine | 580 COTTAGE GROVE RD SUITE 107 BLOOMFIELD, CT 06002 (860) 243-8709 |
| 1659395721 | ROBERT SAFER MD Individual | Internal Medicine | 580 COTTAGE GROVE RD SUITE 107 BLOOMFIELD, CT 06002 (860) 243-8709 |
| 1639261779 | MARIA ANNAL PA Individual | Physician Assistant | 580 COTTAGE GROVE RD SUITE 107 BLOOMFIELD, CT 06002 (860) 243-8709 |
| 1649655895 | ERICA WILLIAMS APRN Individual | Nurse Practitioner (Family) | 580 COTTAGE GROVE RD BLOOMFIELD, CT 06002 (860) 243-8709 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255797726, enumerated in the NPI registry as an "organization" on January 13, 2016
The provider is located at 580 Cottage Grove Rd Suite 103 Bloomfield, Ct 06002 and the phone number is (914) 556-6266
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider's CLIA number is 07D2108772 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on January 13, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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