Provider Demographics
NPI:1750742326
Name:LINK LABS LLC
Entity type:Organization
Organization Name:LINK LABS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAYEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-509-2967
Mailing Address - Street 1:2811 E 15TH ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-5245
Mailing Address - Country:US
Mailing Address - Phone:918-935-3243
Mailing Address - Fax:
Practice Address - Street 1:2811 E 15TH ST
Practice Address - Street 2:SUITE 106
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-5245
Practice Address - Country:US
Practice Address - Phone:918-935-3243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-10
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory