Organization · Type 2 NPI

Providence Physician Practices, LLC

Physiological Laboratory · Columbia, SC

NPI number 1255790499 Active

Practice location

2750 Laurel St, Suite 104
Columbia, SC 29204-2038

Call (803) 799-9035 Map

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098

Specialties and licenses

TaxonomyCodeLicense
Physiological Laboratory Primary 293D00000XNone listed

Physiological Laboratory: A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical labora…

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About NPI 1255790499

Providence Physician Practices, LLC's National Provider Identifier is 1255790499, issued on Feb 16, 2016. The primary taxonomy on file is Physiological Laboratory (293D00000X), and the practice location is in Columbia, SC. The record was last updated on Apr 25, 2022.