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PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1558639864


NPI Information

NPI: 1558639864
Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing Business As: DUKE MEDICINE CIRCLE CLINIC

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
30 DUKE MEDICINE CIRCLE
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 1558639864. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Duke Medicine Circle Clinic.

The provider's business location address is:

30 DUKE MEDICINE CIRCLE
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 12/1/2011 and was last updated on 12/8/2011.


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
1207K00000XAllergy & ImmunologyNo
2207N00000XDermatologyNo
3207P00000XEmergency MedicineNo
4207Q00000XFamily MedicineNo
5207R00000XInternal MedicineNo
6207V00000XObstetrics & GynecologyNo
7207W00000XOphthalmologyNo
8207X00000XOrthopaedic SurgeryNo
9207Y00000XOtolaryngologyNo
10208000000XPediatricsNo
112084N0400XPsychiatry & NeurologyNeurologyNo
122085R0202XRadiologyDiagnostic RadiologyNo
13208600000XSurgeryNo
14208800000XUrologyNo
15208D00000XGeneral PracticeYes

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.