Blake Medical Llc
LBN: Blake Medical Llc
Blake Medical Llc is an health care organization with primary practice located at 3 Woodland Rd Ste 318 , Stoneham MA 02180-1713. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Ambulatory Health Care Facilities / Pain. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
Blake Medical Llc can be contacted via phone (617) 939-1602, or through Blake, Sarah via phone (718) 541-1864.
Contact Information
Primary practice address
3 Woodland Rd Ste 318
Stoneham MA 02180-1713
Phone: (617) 939-1602
Fax: (458) 201-6005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | ||
| Ambulatory Health Care Facilities / Pain | 261QP3300X |
Profile Details
| NPI number | 1366917163 |
|---|---|
| LBN Legal business name | Blake Medical Llc |
| DBA Doing business as | |
| Authorized official | Blake, Sarah Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 8th, 2018 |
| Last updated | Feb 26th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366917163 | NPPES |
| Massachusetts | MEDICAID | 1100850080A |
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