<Unavail>

LBN: Providence Physician Practices Llc
<Unavail> is an health care organization with primary practice located at 2750 Laurel St Ste 104, Columbia SC 29204-2038. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Laboratories / Physiological Laboratory. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. Providence Physician Practices Llc can be contacted via phone (803) 799-9035, or through Judy, Jess via phone (615) 920-7000.

Contact Information

Primary practice address
2750 Laurel St Ste 104 Columbia SC 29204-2038
Phone: (803) 799-9035
Fax: (803) 799-9710
Website:
Map and Directions
Authorized official contact:
Name: Judy, Jess
Phone: (615) 920-7000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Laboratories / Physiological Laboratory 293D00000X

Profile Details

NPI number 1902264971
LBN Legal business name Providence Physician Practices Llc
DBA Doing business as <Unavail>
Authorized official Judy, Jess
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2016
Last updated Feb 5th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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