Provider Demographics
NPI:1730657016
Name:LINK MEDICAL INC
Entity Type:Organization
Organization Name:LINK MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:VAHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OGANESYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-224-5538
Mailing Address - Street 1:6710 N 47TH AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85301-4111
Mailing Address - Country:US
Mailing Address - Phone:833-224-5538
Mailing Address - Fax:
Practice Address - Street 1:1555 RAMAR RD
Practice Address - Street 2:
Practice Address - City:BULLHEAD CITY
Practice Address - State:AZ
Practice Address - Zip Code:86442-6010
Practice Address - Country:US
Practice Address - Phone:833-546-5633
Practice Address - Fax:833-424-5538
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BILLET MEDICAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-05
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty