Provider Demographics
NPI:1003834474
Name:NEUROLINKS, LLC
Entity Type:Organization
Organization Name:NEUROLINKS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:VINSON
Authorized Official - Suffix:
Authorized Official - Credentials:CNIM
Authorized Official - Phone:877-295-2554
Mailing Address - Street 1:1145 S UTICA AVE STE 901
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-4005
Mailing Address - Country:US
Mailing Address - Phone:918-742-0400
Mailing Address - Fax:918-742-0904
Practice Address - Street 1:1145 S UTICA AVE STE 901
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-4005
Practice Address - Country:US
Practice Address - Phone:918-742-0400
Practice Address - Fax:918-742-0904
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVANCED MONITORING SERVICES HOLDINGS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-17
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEGGroup - Multi-Specialty
No246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Multi-Specialty
No293D00000XLaboratoriesPhysiological LaboratoryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200062190AMedicaid
OK900522271Medicare PIN
OK200062190AMedicaid