PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1114073160

NPI Information

  • NPI: 1114073160
  • Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC
  • Classification: Internal Medicine - 207RX0202X
  • Specialization: Medical Oncology
  • Entity Type: Organization
  • Other Name: LUMBERTON ONCOLOGY
  • Address: 1200 PINE RUN DR
    LUMBERTON, NC
    ZIP 28358
  • Phone: (910) 671-5730

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NPI Details

PRIVATE DIAGNOSTIC CLINIC, PLLC is a medical oncology internal medicine in Lumberton, NC. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1114073160. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Lumberton Oncology.

The provider's business location address is:

1200 PINE RUN DR
LUMBERTON, NC
ZIP 28358-180
Phone: (910) 671-5730

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 1/25/2007 and was last updated on 5/13/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RX0202XInternal MedicineMedical OncologyNORTH CAROLINAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1790108FMEDICAIDNORTH CAROLINA
20108FOTHERNORTH CAROLINABCBS

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: 11/21/2025

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