Healthcare Provider Details

I. General information

NPI: 1548532476
Provider Name (Legal Business Name): PROMED SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2012
Last Update Date: 02/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8055 CLUB PKWY
CORDOVA TN
38016-5967
US

IV. Provider business mailing address

8055 CLUB PKWY
CORDOVA TN
38016-5967
US

V. Phone/Fax

Practice location:
  • Phone: 901-282-6712
  • Fax: 901-753-8933
Mailing address:
  • Phone: 901-282-6712
  • Fax: 901-753-8933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. KASEY NICOLE FUTRELL
Title or Position: DIRECTOR
Credential:
Phone: 901-282-6712