Providence Physician Practices, LLC
NPI 1255790499ActiveOrganization· Physiological Laboratory· Columbia, SC
Physiological Laboratory in Columbia, South Carolina, registered in NPPES in February 2016. The authorized official on file is Terrence Dillon, Assistant Secretary.
Overview
| NPI | 1255790499 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 16, 2016 |
| Last updated in NPPES | Apr 25, 2022 |
| Certified by provider | Apr 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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