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

Providence Physician Practices, LLC

Organization Physiological Laboratory · NPI 1255790499

Providence Physician Practices, LLC is a Physiological Laboratory in Columbia, South Carolina. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2750 Laurel St Ste 104
Columbia, SC 29204-2038
Phone: (803) 799-9035
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physiological Laboratory (primary) Taxonomy 293D00000X

Record details

NPI number1255790499
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terrence Dillon — Assistant Secretary · (502) 596-7220
Other names Laurel Imaging Center; Laurel Imaging Center
NPI enumeratedFebruary 16, 2016
Last updated in NPPESApril 25, 2022
Certification dateApril 25, 2022
Mailing address330 Seven Springs Way, Brentwood, TN 37027-5098

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