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LAUREL IMAGING CENTER
NPI 1255790499
Physiological Laboratory in Columbia, SC

Active since February 16, 2016
2750 LAUREL ST, SUITE 104, COLUMBIA, SC 29204(803) 799-9035 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2022, Feb 17, 2016 (2 updates tracked since 2016).

About Laurel Imaging Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREL IMAGING CENTER (NPI 1255790499) is a healthcare organization registered as a physiological laboratory in Columbia, South Carolina and active in the NPI registry since February 2016. The organization lists Terrence Dillon, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1255790499
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NamePROVIDENCE PHYSICIAN PRACTICES, LLC
Location Address2750 LAUREL ST, SUITE 104Columbia, SC 29204-2038
Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7000 · Fax (615) 920-8913
Phone(803) 799-9035
Organization SubpartNo
Authorized OfficialTerrence DillonAssistant Secretary · (502) 596-7220
Enumeration DateFebruary 16, 2016
Last NPPES UpdateApril 25, 20222 updates tracked since enumeration
NPPES CertifiedApril 25, 2022
✔ NPI 1255790499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
2750 LAUREL ST, Columbia, SC 29204
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Other Names 1

Doing Business AsLaurel Imaging Center

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLUMBIA MEDICAL ASSOCIATES, P.A.
Internal Medicine
2750 LAUREL ST, SUITE 303
COLUMBIA, SC 29204
Richland County (803) 252-1953
DR. EDGAR HAROLD PEACOCK JR. D.D.S.
Dentist (Oral and Maxillofacial Surgery)
2750 LAUREL ST, STE 202
COLUMBIA, SC 29204
Richland County (803) 256-9268
DR. JOHN C HINDERSMAN MD
Ophthalmology
2750 LAUREL ST, SUITE 102
COLUMBIA, SC 29204
Richland County (803) 799-0585
PALMETTO GASTROENTEROLOGY, PA
Internal Medicine (Gastroenterology)
2750 LAUREL ST, STE 201
COLUMBIA, SC 29204
Richland County (803) 799-2219
FRAMPTON W HENDERSON JR. MD
Family Medicine
2750 LAUREL ST, 103
COLUMBIA, SC 29204
Richland County (803) 254-5171
THEODORE W LAW IV MD
Family Medicine
2750 LAUREL ST, 103
COLUMBIA, SC 29204
Richland County (803) 254-5171
PROVIDENCE HEALTH NETWORK LLC
Radiology (Diagnostic Radiology)
2750 LAUREL ST, SUITE 104
COLUMBIA, SC 29204
Richland County (803) 799-9035
JAROSLAW M AMBROZIAK MD
Family Medicine
2750 LAUREL ST, 103
COLUMBIA, SC 29204
Richland County (803) 254-5171

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Physician Practices, LLC's NPI number?

The NPI number for Providence Physician Practices, LLC is 1255790499. It was assigned to this organization in the NPPES registry on February 16, 2016. The provider is doing business as Laurel Imaging Center.

Where is Providence Physician Practices, LLC located?

Providence Physician Practices, LLC is located at 2750 Laurel St Suite 104, Columbia, SC 29204. The listed phone number is (803) 799-9035.

What is Providence Physician Practices, LLC's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

When was this NPI record last updated?

The NPPES record for Providence Physician Practices, LLC was last updated on April 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.