Organization
PROVIDENCE HEALTH NETWORK LLC
Active
Parent organization
SISTERS OF CHARITY PROVIDENCE HOSPITAL
Other names
Laurel Imaging Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SISTERS OF CHARITY PROVIDENCE HOSPITAL
Authorized official
GEORGE ZARA (CEO)
(803) 256-5300
Entity
Organization
Contact information
Practice address
2750 LAUREL ST, SUITE 104, COLUMBIA, SC 29204-2038
(803) 799-9035
(803) 799-9710
Mailing address
2750 LAUREL ST, SUITE 104, COLUMBIA, SC 29204
(803) 799-9035
(803) 799-9710
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
40-5997
SC
293D00000X
Physiological Laboratory
40-5997
SC
Other
Enumeration date
01/30/2014
Last updated
06/23/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us