Provider Demographics
NPI:1407899156
Name:B & L SPECIALTY TEAM
Entity Type:Organization
Organization Name:B & L SPECIALTY TEAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-858-0544
Mailing Address - Street 1:316 HWY 6 & 60
Mailing Address - Street 2:STE B
Mailing Address - City:FRUITA
Mailing Address - State:CO
Mailing Address - Zip Code:81521
Mailing Address - Country:US
Mailing Address - Phone:970-858-0544
Mailing Address - Fax:970-858-7749
Practice Address - Street 1:1175 18 1/2 RD
Practice Address - Street 2:
Practice Address - City:FRUITA
Practice Address - State:CO
Practice Address - Zip Code:81521-9619
Practice Address - Country:US
Practice Address - Phone:970-858-0544
Practice Address - Fax:970-858-7749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health InformationGroup - Multi-Specialty