Organization
SPECIALYSTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA BLAKE (MANAGER OF REIMBURSEMENT SERVICES)
(612) 429-6951
Entity
Organization
Contact information
Practice address
1250 MOORE LAKE DR E STE 130, FRIDLEY, MN 55432-5135
(855) 753-8298
Mailing address
2725 WOODSIDE DR, HIGHLAND VILLAGE, TX 75077-8680
(855) 753-8298
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
04/27/2023
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