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

Providence Physician Practices LLC

Organization Diagnostic Radiology Physician · NPI 1902264971

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

In the registry since
2016
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
Physiological Laboratory Taxonomy 293D00000X

Record details

NPI number1902264971
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jess Judy — President · (615) 920-7000
Other names Laurel Imaging Center
NPI enumeratedFebruary 5, 2016
Last updated in NPPESFebruary 5, 2016
Mailing address2750 Laurel St, Ste 104, Columbia, SC 29204-2038

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