Provider Demographics
NPI:1689150120
Name:MEDLINQ
Entity Type:Organization
Organization Name:MEDLINQ
Other - Org Name:PHYSICIAN TELEMEDICINE CLINICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:M
Authorized Official - Last Name:DERHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-447-8248
Mailing Address - Street 1:860 BLUE GENTIAN RD STE 200
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-1567
Mailing Address - Country:US
Mailing Address - Phone:888-447-8248
Mailing Address - Fax:888-447-8248
Practice Address - Street 1:3500 LENOX RD NE STE 1500
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-4231
Practice Address - Country:US
Practice Address - Phone:888-447-8248
Practice Address - Fax:888-447-8248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-18
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy