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Organization
BLACKSTONE MEDICAL SERVICES LLC
Active
Organization
BLACKSTONE MEDICAL SERVICES LLC
Active
Other names
Blackstone Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
VICK TIPNES (CEO)
(813) 831-2727
Entity
Organization
Contact information
Practice address
550 N REO ST STE 250, TAMPA, FL 33609-1039
(813) 831-2727
(888) 239-4616
Mailing address
4030 HENDERSON BLVD STE 145, TAMPA, FL 33629-4940
(813) 831-2727
(888) 239-4616
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
293D00000X
Physiological Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017677000
—
FL
Enumeration date
03/16/2011
Last updated
10/03/2025
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