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NPI Code Detail

MEDICARE: PRISMA HEALTH IMAGING CENTERS, LLC

MEDICARE: PRISMA HEALTH IMAGING CENTERS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1293D00000XPhysiological Laboratory

General Provider Information

NPI Number : 1134079403
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRISMA HEALTH IMAGING CENTERS, LLC
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1059 BY PASS 123
Second Line :
City : SENECA
State : SC
Zip : 29678-4762
Country : US
Telephone Number : 904-296-4829
Fax Number :
Authorized Official
Title or Position : DIR-ENROLLMENT & CVO
Name : KRISTI ANN LAWRENCE
Credential :
Telephone Number : 864-522-8611
Provider Enumeration Date : 01/28/2026
Last Update Date : 01/28/2026

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Directions to “PRISMA HEALTH IMAGING CENTERS, LLC ” Practice Location

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