Provider Demographics
NPI:1447400346
Name:MEDICAL LINK
Entity Type:Organization
Organization Name:MEDICAL LINK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-640-1248
Mailing Address - Street 1:248 FOWLER AVE
Mailing Address - Street 2:SUITE 25
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305-2144
Mailing Address - Country:US
Mailing Address - Phone:804-640-1248
Mailing Address - Fax:
Practice Address - Street 1:248 FOWLER AVE
Practice Address - Street 2:SUITE 25
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07305-2144
Practice Address - Country:US
Practice Address - Phone:804-640-1248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier