Provider Type Icon

PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1417407545


NPI Information

NPI: 1417407545
Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing Business As: DUKE ORTHOPAEDICS OF RALEIGH

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
3480 WAKE FOREST RD
SUITE 204
RALEIGH, NC
ZIP 27609
Phone: (919) 862-5093
Get Directions

PRIVATE DIAGNOSTIC CLINIC, PLLC is a prosthetic orthotic supplier in Raleigh, NC. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1417407545. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Duke Orthopaedics Of Raleigh.

The provider's business location address is:

3480 WAKE FOREST RD
SUITE 204
RALEIGH, NC
ZIP 27609-376
Phone: (919) 862-5093
Fax: (919) 862-5605

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 10/13/2016 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
1207XX0005XOrthopaedic SurgerySports MedicineNo
2207X00000XOrthopaedic SurgeryNo
3335E00000XProsthetic/Orthotic SupplierYes

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.