LAUREL IMAGING CENTER – NPI #1467875229
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

LAUREL IMAGING CENTER is a radiologist located in COLUMBIA, SC. NPPES has assigned the NPI number 1467875229 to LAUREL IMAGING CENTER on January 30, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LAUREL IMAGING CENTER” is a dba name, the actual legal business name for this organization is PROVIDENCE HEALTH NETWORK LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 12 years ago on Jun 23, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAUREL IMAGING CENTER below.

NPI Profile for
PROVIDENCE HEALTH NETWORK LLC

NPI Number
1467875229
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROVIDENCE HEALTH NETWORK LLC
Doing Business As (dba): LAUREL IMAGING CENTER
Primary location
2750 LAUREL ST
SUITE 104
COLUMBIA, SC 29204-2038
Phone: (803) 799-9035 Fax: (803) 799-9710
Mailing address
Same as primary location
Organization Subpart
Yes - LAUREL IMAGING CENTER is subpart of another organization.
Authorized Official
GEORGE ZARA
CEO
Phone: (803) 256-5300
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
SC 40-5997
293D00000X
- Physiological Laboratory
SC 40-5997

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.