Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Providence Health Network LLC

Organization Diagnostic Radiology Physician · NPI 1467875229

Providence Health Network LLC is a Diagnostic Radiology Physician in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2014.

Licensed in
SC
In the registry since
2014
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2750 Laurel St Ste 104
Columbia, SC 29204-2038
Phone: (803) 799-9035
Fax: (803) 799-9710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 40-5997 (SC)
Physiological Laboratory Taxonomy 293D00000X · Licence 40-5997 (SC)

Record details

NPI number1467875229
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSisters of Charity Providence Hospital
Authorized official George Zara — Ceo · (803) 256-5300
Other names Laurel Imaging Center
NPI enumeratedJanuary 30, 2014
Last updated in NPPESJune 23, 2014
Mailing address2750 Laurel St, Suite 104, Columbia, SC 29204

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