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PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1962952093


NPI Information

NPI: 1962952093
Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing Business As: NORTH CAROLINA ORTHOPAEDIC CLINIC

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
3609 SW DURHAM DR
DURHAM, NC
ZIP 27707
Phone: (919) 417-9622
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PRIVATE DIAGNOSTIC CLINIC, PLLC is a prosthetic orthotic supplier in Durham, NC. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1962952093. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As North Carolina Orthopaedic Clinic.

The provider's business location address is:

3609 SW DURHAM DR
DURHAM, NC
ZIP 27707-507
Phone: (919) 417-9622
Fax: (919) 477-1929

The provider's authorized official is Christopher T Frederick .
The authorized official title is Practice Chief Financial Officer and has the following contact phone number (919) 620-1055.

The enumeration date for this NPI number is 10/13/2016 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
1207X00000XOrthopaedic SurgeryNo
2207XX0005XOrthopaedic SurgerySports MedicineNo
3335E00000XProsthetic/Orthotic SupplierYes

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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