Provider Type Icon

PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1336416460


NPI Information

NPI: 1336416460
Provider Name: PRIVATE DIAGNOSTIC CLINIC PLLC

Doing Business As: CANCER CENTER

Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

Address:
20 DUKE MEDICINE CIRCLE
DURHAM, NC
ZIP 27710
Phone: (919) 684-8111
Get Directions

PRIVATE DIAGNOSTIC CLINIC PLLC is an allergy allergy immunology in Durham, NC. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee PRIVATE DIAGNOSTIC CLINIC PLLC NPI is 1336416460. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cancer Center.

The provider's business location address is:

20 DUKE MEDICINE CIRCLE
DURHAM, NC
ZIP 27710-000
Phone: (919) 684-8111

The provider's authorized official is Christopher Thomas Frederick .
The authorized official title is Cfo and has the following contact phone number (919) 613-7762.

The enumeration date for this NPI number is 11/17/2011 and was last updated on 5/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LC0200XAnesthesiologyCritical Care MedicineNo
2207LP2900XAnesthesiologyPain MedicineNo
3207ND0101XDermatologyMOHS-Micrographic SurgeryNo
4207ND0900XDermatologyDermatopathologyNo
5207PE0004XEmergency MedicineEmergency Medical ServicesNo
6207Q00000XFamily MedicineNo
7207R00000XInternal MedicineNo
8207V00000XObstetrics & GynecologyNo
9208800000XUrologyNo
10208M00000XHospitalistNo
11207KA0200XAllergy & ImmunologyAllergyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.