OrganizationActive
Providence Physician Practices, LLC
NPI 1255790499 · Physiological Laboratory · Columbia, SC
Providence Physician Practices, LLC is a Physiological Laboratory organization in Columbia, SC (NPI 1255790499).
Provider details
- NPI number
- 1255790499
- Entity type
- Organization
- Primary specialty
- Physiological LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Terrence Dillon, Assistant Secretary(502) 596-7220
Specialties & taxonomies
Laboratories
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2750 Laurel St
Suite 104
Columbia, SC 29204-2038
Phone: (803) 799-9035
Street-level locationGet directions
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-5098
Other names (DBA / former)
- Doing business as
- Laurel Imaging Center
- Doing business as
- Laurel Imaging Center
Registry dates
- Enumerated
- 2016-02-16
- Last updated
- 2022-04-25
- Certified
- 2022-04-25
Frequently asked questions
- What is Providence Physician Practices, LLC's NPI number?
- Providence Physician Practices, LLC's National Provider Identifier (NPI) is 1255790499, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Physician Practices, LLC?
- Providence Physician Practices, LLC is classified in the NPPES registry as Physiological Laboratory (Laboratories).
- Where is Providence Physician Practices, LLC located?
- Providence Physician Practices, LLC's practice location on file with NPPES is 2750 Laurel St, Columbia, SC 29204-2038.
- What is Providence Physician Practices, LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Physician Practices, LLC is (803) 799-9035.
- Who is the authorized official for Providence Physician Practices, LLC?
- The authorized official listed on Providence Physician Practices, LLC's NPPES record is Terrence Dillon, Assistant Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Physician Practices, LLC's NPI active?
- Yes — Providence Physician Practices, LLC's NPI (1255790499) is active in the NPPES registry as of the last update on 2022-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.