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PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1942532239


NPI Information

NPI: 1942532239
Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing Business As: DUKE SPECIALTY OF GREENSBORO

Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

CLIA Number: 34D1047144

Address:
1126 N CHURCH ST
SUITE 203
GREENSBORO, NC
ZIP 27401
Phone: (336) 235-0944
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PRIVATE DIAGNOSTIC CLINIC, PLLC is a pediatric cardiology pediatrics in Greensboro, NC. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1942532239. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Duke Specialty Of Greensboro.

The provider's business location address is:

1126 N CHURCH ST
SUITE 203
GREENSBORO, NC
ZIP 27401-027
Phone: (336) 235-0944

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 34D1047144 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/11/2010 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 MedicineNo
22080P0202XPediatricsPediatric CardiologyYes

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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