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 provides Diagnostic Radiology Physician services 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 Not confirmed with CMS for 12 years — call before visiting
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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