Healthcare Provider Details

I. General information

NPI: 1730657016
Provider Name (Legal Business Name): LINK MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2018
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 RAMAR RD
BULLHEAD CITY AZ
86442-6010
US

IV. Provider business mailing address

6710 N 47TH AVE STE 8
GLENDALE AZ
85301-4111
US

V. Phone/Fax

Practice location:
  • Phone: 833-546-5633
  • Fax: 833-424-5538
Mailing address:
  • Phone: 833-224-5538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: VAHAN OGANESYAN
Title or Position: COO
Credential:
Phone: 833-224-5538