| Specialysts, Inc. | |
|
1250 Moore Lake Dr E Ste 130 Fridley MN 55432-5135 | |
| (855) 753-8298 | |
| Not Available |
| Full Name | Specialysts, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1250 Moore Lake Dr E Ste 130, Fridley, Minnesota |
| Authorized Official Name and Position | Melinda Blake (MANAGER OF REIMBURSEMENT SERVICES) |
| Authorized Official Contact | 6124296951 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialysts, Inc. 2725 Woodside Dr Highland Village TX 75077-8680 Ph: (855) 753-8298 | Specialysts, Inc. 1250 Moore Lake Dr E Ste 130 Fridley MN 55432-5135 Ph: (855) 753-8298 |
| NPI Number | 1598343592 |
|---|---|
| Provider Enumeration Date | 03/31/2021 |
| Last Update Date | 04/27/2023 |
| Medicare PECOS PAC ID | 3779990031 |
|---|---|
| Medicare Enrollment ID | O20210402000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598343592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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