PROVIDENCE PHYSICIAN PRACTICES LLC NPI 1902264971

NPI Information

NPI: 1902264971
Provider Name: PROVIDENCE PHYSICIAN PRACTICES LLC

Doing Business As: LAUREL IMAGING CENTER

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2750 LAUREL ST
STE 104
COLUMBIA, SC
ZIP 29204
Phone: (803) 799-9035
Get Directions

PROVIDENCE PHYSICIAN PRACTICES LLC is a diagnostic radiology radiology in Columbia, SC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PROVIDENCE PHYSICIAN PRACTICES LLC NPI is 1902264971. The provider is registered as an organization entity type.
The provider Is Doing Business As Laurel Imaging Center.

The provider's business location address is:

2750 LAUREL ST
STE 104
COLUMBIA, SC
ZIP 29204-038
Phone: (803) 799-9035
Fax: (803) 799-9710

The provider's authorized official is Jess Judy .
The authorized official title is President and has the following contact phone number (615) 920-7000.

The enumeration date for this NPI number is 2/5/2016 and was last updated on 2/5/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	293D00000X	Physiological Laboratory				No
2	2085R0202X	Radiology	Diagnostic Radiology			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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