National Provider Identifier Database

PROVIDENCE HEALTH NETWORK LLC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

PROVIDENCE HEALTH NETWORK LLC
2750 LAUREL ST
SUITE 104
COLUMBIA, SC29204-2038
Phone: 803-799-9035
Fax: 803-799-9710
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Physiological Laboratory, (Independent Physiological Lab) 293D00000X

* Indicates primary specialty

NPI Profile & details for PROVIDENCE HEALTH NETWORK LLC

NPI Number 1467875229
Legal business name
LBN
PROVIDENCE HEALTH NETWORK LLC
Authorized official GEORGE ZARA - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 01/30/2014
Last updated 06/23/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 40-5997

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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