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PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1508113689


NPI Information

NPI: 1508113689
Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing Business As: WILMINGTON MATERNAL-FETAL MEDICINE

Classification: Obstetrics & Gynecology - 207VM0101X
Entity Type: Organization

Specialization: Maternal & Fetal Medicine

CLIA Number: 34D1058409

Address:
2212 DELANEY AVE
WILMINGTON, NC
ZIP 28403
Phone: (910) 332-3660
Get Directions

PRIVATE DIAGNOSTIC CLINIC, PLLC is a maternal and fetal medicine obstetrics gynecology in Wilmington, NC. The provider is an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1508113689. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wilmington Maternal-fetal Medicine.

The provider's business location address is:

2212 DELANEY AVE
WILMINGTON, NC
ZIP 28403-011
Phone: (910) 332-3660

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 CLIA number assigned to this NPI record is 34D1058409 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/8/2012 and was last updated on 7/11/2022.


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
1207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineYes

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

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