PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1306078803

NPI Information

  • NPI: 1306078803
  • Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • Doing Business As: DUKE DIET AND FITNESS (PDC)
  • Address: 501 DOUGLAS ST
    DURHAM, NC
    ZIP 27705
  • Phone: (919) 684-8111

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NPI Details

PRIVATE DIAGNOSTIC CLINIC, PLLC is an endocrinology and diabetes and metabolism internal medicine in Durham, NC. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1306078803. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Duke Diet And Fitness (pdc).

The provider's business location address is:

501 DOUGLAS ST
DURHAM, NC
ZIP 27705-888
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 8/17/2009 and was last updated on 5/15/2022.

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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

What is NPI?

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This page was last updated on: 11/21/2025

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