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PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1871519371


NPI Information

NPI: 1871519371
Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing Business As: DURHAM PATHOLOGY ASSOCIATES / DURHAM REGIONAL HOSPITAL

Classification: Pathology - 207ZP0105X
Entity Type: Organization

Specialization: Clinical Pathology/Laboratory Medicine

Address:
3643 N ROXBORO ST
DURHAM, NC
ZIP 27704
Phone: (919) 684-8111
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PRIVATE DIAGNOSTIC CLINIC, PLLC is a clinical pathology/laboratory medicine pathology in Durham, NC. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1871519371. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Durham Pathology Associates / Durham Regional Hospital.

The provider's business location address is:

3643 N ROXBORO ST
DURHAM, NC
ZIP 27704-702
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 7/15/2006 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
1207ZP0105XPathologyClinical Pathology/Laboratory MedicineYes

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
10282UOTHERNORTH CAROLINABCBS GRP
2890282UMEDICAIDNORTH 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: 4/28/2024

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