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PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1457389033


NPI Information

NPI: 1457389033
Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
40 DUKE MEDICINE CIR
DURHAM, NC
ZIP 27710
Phone: (919) 684-8111
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PRIVATE DIAGNOSTIC CLINIC, PLLC is a general practice in Durham, NC. PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1457389033. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

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

The provider's authorized official is Mark L Cantrell .
The authorized official title is Chief Privacy & Compliance Officer and has the following contact phone number (919) 668-5161.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 2/27/2012.


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
1208800000XUrologyNo
22085R0202XRadiologyDiagnostic RadiologyNo
3152W00000XOptometristNo
4207K00000XAllergy & ImmunologyNo
5207N00000XDermatologyNo
6207P00000XEmergency MedicineNo
7207Q00000XFamily MedicineNo
8207R00000XInternal MedicineNo
9207V00000XObstetrics & GynecologyNo
10207W00000XOphthalmologyNo
11207X00000XOrthopaedic SurgeryNo
12207Y00000XOtolaryngologyNo
13208000000XPediatricsNo
142084N0400XPsychiatry & NeurologyNeurologyNo
15208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1230580MEDICARE PINNORTH CAROLINA
2230586MEDICARE PINNORTH CAROLINA
3230577MEDICARE PINNORTH CAROLINA
4230581MEDICARE PINNORTH CAROLINA
51405MEDICARE PINNORTH CAROLINA
62310523CMEDICARE PINNORTH CAROLINA
7230575MEDICARE PINNORTH CAROLINA
8230570MEDICARE PINNORTH CAROLINA
9230583MEDICARE PINNORTH CAROLINA
10C08239MEDICARE PINVIRGINIA
11230572MEDICARE PINNORTH CAROLINA
12230574MEDICARE PINNORTH CAROLINA
13230584MEDICARE PINNORTH CAROLINA
14230585MEDICARE PINNORTH CAROLINA
15230587MEDICARE PINNORTH CAROLINA
16230573MEDICARE PINNORTH CAROLINA
172310523MEDICARE PINNORTH CAROLINA
18230576MEDICARE PINNORTH CAROLINA
19230582MEDICARE PINNORTH CAROLINA
20230864MEDICARE PINNORTH CAROLINA

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: 11/14/2023

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.