LAUREL IMAGING CENTER, LLC (NPI# 1710948047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710948047 |
Entity Type | Organization |
Organization Name | LAUREL IMAGING CENTER, LLC |
Practice Address |
2750 Laurel St Suite 104 Columbia SC 29204-2038 |
Practice Telephone | 8037999035 |
Practice Fax Number | 8037999710 |
Mailing Telephone | 8037999035 |
Mailing Fax Number | 8037999710 |
Enumeration Date | 2006-03-28 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. VAUGHN R BARNICK (PRESIDENT) |
Authorized Official Telephone | 8032521953 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
Street Address |
2750 LAUREL ST SUITE 104 |
City | COLUMBIA |
State | SC |
Zip Code | 29204-2038 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275536245 | Edgar Harold Peacock Jr. | Dentist | 2750 Laurel St, Ste 202, Columbia, SC 29204-2024 | 2005-05-24 |
1780124073 | Linda Lauren Mcmeekin Bradley | Nurse Practitioner | 2750 Laurel St, Suite 203, Columbia, SC 29204-2038 | 2017-03-06 |
1255790499 | Providence Physician Practices, LLC | Physiological Laboratory | 2750 Laurel St, Suite 104, Columbia, SC 29204-2038 | 2016-02-16 |
1710345459 | Jeannie Morgan Woody | Audiologist | 2750 Laurel St, Suite 203, Columbia, SC 29204-2038 | 2016-02-09 |
1770941742 | Providence Physician Practices LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2750 Laurel St, Ste 305, Columbia, SC 29204-2038 | 2016-02-05 |
1902264971 | Providence Physician Practices LLC | Physiological Laboratory | 2750 Laurel St, Ste 104, Columbia, SC 29204-2038 | 2016-02-05 |
1467875229 | Providence Health Network LLC | Physiological Laboratory | 2750 Laurel St, Suite 104, Columbia, SC 29204-2038 | 2014-01-30 |
1689944738 | Providence Health Network, LLC | Internal Medicine | 2750 Laurel St, Suite 303, Columbia, SC 29204-2038 | 2012-01-06 |
1295965051 | Palmetto Gastroenterology, Pa | Internal Medicine | 2750 Laurel St, Ste 201, Columbia, SC 29204-2038 | 2009-07-15 |
1689840514 | James Alan Henderson | Family Medicine | 2750 Laurel St, Suite 103, Columbia, SC 29204-2038 | 2008-04-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
Find all providers in zip 29204 |
Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
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---|---|---|---|---|
1255728226 | Harry S. Truman Mvh | Clinic/Center | 132 Southampton Dr, Columbia, MO 65203-3050 | 2015-04-17 |
1124370713 | Jacquette Caldwell Md Pa | Clinic/Center | 28 Wildeoak Ct, Columbia, SC 29223-3292 | 2012-10-08 |
1750688453 | First Imaging Center Inc | Clinic/Center | 8860 Columbia 100 Pkwy Suite 10, Columbia, MD 21045-2195 | 2011-02-16 |
1104889377 | Inmed Diagnostics Services of S C L L C | Clinic/Center | 126 S Assembly St, Columbia, SC 29201-4545 | 2006-04-10 |
1063886612 | Balum Imaging LLC | Clinic/Center | 5500 Knoll North Dr, Suite 190, Columbia, MD 21045-2370 | 2015-11-19 |
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1083275366 | Tidelands and Medquest Joint Venture, LLC | Clinic/Center | 900 21st Ave N, Myrtle Beach, SC 29577-7483 | 2019-06-26 |
1568981843 | Medical Imaging Express | Clinic/Center | 361 Woodruff Rd, Greenville, SC 29607-3415 | 2017-09-18 |
1912215427 | Southside Imaging Center LLC | Clinic/Center | 430 Society Hill Drive, Aiken, SC 29803 | 2010-09-17 |
1760799241 | United Rehab Inc | Clinic/Center | 213 Tanglewood Ct, Ridgeway, SC 29130-7100 | 2010-09-07 |
1225291206 | Manning Diagnostics LLC | Clinic/Center | 202 E Hospital St, Manning, SC 29102-3160 | 2008-07-09 |
1013170109 | Imaging Center At Baxter Village, L.L.C. | Clinic/Center | 509 6th Baxter Crossing, Fort Mill, SC 29708 | 2008-07-08 |
1073772737 | Orangeburg Cardiac Imaging Center | Clinic/Center | 1892 Saint Matthews Rd, Orangeburg, SC 29118-2404 | 2008-06-06 |
1861671711 | Southern Mri | Clinic/Center | 49 Pennington Dr Ste B, Bluffton, SC 29910-9014 | 2007-10-29 |
1679699144 | Inmed Diagnostics Services of Sc LLC | Clinic/Center | 1704 E Main St, Duncan, SC 29334-9708 | 2007-03-22 |
1821114315 | Inmed Diagnostics Services of Sc LLC | Clinic/Center | 1120 W Evans St, Florence, SC 29501-3320 | 2007-03-22 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.