PROVIDENCE HEALTH NETWORK LLC
Medical Laboratory at Laurel St, Columbia, SC

License number
South Carolina 40-5997
Category
Radiology
Type
Diagnostic Radiology
License number
South Carolina 40-5997
Category
Medical Laboratory
Type
Physiological Laboratory
Owner
Name: GEORGE ZARA
Title: CEO
Phone: (803) 256-5300
Address
Address
2750 Laurel St SUITE 104, Columbia, SC 29204
National Provider ID: 1467875229
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PROVIDENCE HEALTH NETWORK LLC at bizstanding.com

PROVIDENCE HEALTH NETWORK, LLC

2 Office Park Ct, Columbia, SC 29223

Registration:
Dec 15, 2011
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Agent:
Ct Corporation System

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