Provider Demographics
NPI:1407273873
Name:MEDI-LYNX CARDIAC MONITORING, LLC
Entity Type:Organization
Organization Name:MEDI-LYNX CARDIAC MONITORING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:J
Authorized Official - Last Name:BOGDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-847-0780
Mailing Address - Street 1:6700 PINECREST DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-4263
Mailing Address - Country:US
Mailing Address - Phone:855-847-0780
Mailing Address - Fax:855-847-1023
Practice Address - Street 1:251 RHODE ISLAND ST STE 111
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-5168
Practice Address - Country:US
Practice Address - Phone:855-847-0780
Practice Address - Fax:855-847-1023
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDI-LYNX MONITORING INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-03-24
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA124250Medicare PIN