Provider Type Icon

PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1366643124


NPI Information

NPI: 1366643124
Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing Business As: DUKE ENDOSCOPY OF RALEIGH

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
3480 WAKE FOREST RD
SUITE 500
RALEIGH, NC
ZIP 27609
Phone: (919) 684-8111
Get Directions

PRIVATE DIAGNOSTIC CLINIC, PLLC is a gastroenterology internal medicine in Raleigh, NC. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1366643124. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Duke Endoscopy Of Raleigh.

The provider's business location address is:

3480 WAKE FOREST RD
SUITE 500
RALEIGH, NC
ZIP 27609-317
Phone: (919) 684-8111

The provider's authorized official is Mark L Cantrell .
The authorized official title is Chief Privacy & Compliance Officer and has the following contact phone number (919) 668-5161.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 12/8/2011.


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
1207RG0100XInternal MedicineGastroenterologyNORTH 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1230575OTHERNORTH CAROLINAMEDICARE GROUP #

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.