# PROMED IMAGING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558993501
- **Authorized official:** TREVOR FELICETTI (OWNER)
- **Authorized official phone:** (561) 210-7669

## Contact information

- **Practice address:** 15495 EAGLE NEST LN STE 130, MIAMI LAKES, FL 33014-2242
- **Practice address phone:** (305) 901-7199
- **Mailing address:** 15495 EAGLE NEST LN STE 130, MIAMI LAKES, FL 33014-2242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/07/2020
- **Last updated:** 08/25/2023