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Providence Health Network Llc
Physiological Laboratory in Columbia, South Carolina
NPI 1467875229

Providence Health Network Llc is a Physiological Laboratory based in Columbia, SC. Providence Health Network Llc practices in Columbia, SC. The NPI Number for Providence Health Network Llc is 1467875229 and holds a License No. 40-5997 (South Carolina).

The current practice location address for Providence Health Network Llc is 2750 Laurel St, Columbia, SC and can be reached out via phone at 803-799-9035 and via fax at 803-799-9710.

Location: 2750 Laurel St, Columbia, SC, 29204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467875229
Provider Name
Providence Health Network Llc
Credential
Provider Entity Type
Organization
Address
2750 Laurel St, Columbia, SC, 29204
Phone Number
803-799-9035
Fax Number
803-799-9710
Provider Enumeration Date
01/30/2014
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2750 Laurel St
City
Columbia
State
South Carolina
Zip
29204-2038
Phone Number
803-799-9035
Fax Number
803-799-9710
person
Provider Business Mailing Address Details
Address
2750 Laurel St
City
Columbia
State
South Carolina
Zip
29204-2038
Phone Number
803-799-9035
Fax Number
803-799-9710
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
40-5997 (South Carolina)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Laboratories
Classification
Physiological Laboratory
Speciality
-
Taxonomy
293D00000X
License No.
40-5997 (South Carolina)
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.
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