Provider Type Icon

PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1457389033


NPI Information

NPI: 1457389033
Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
40 DUKE MEDICINE CIR
DURHAM, NC
ZIP 27710
Phone: (919) 684-8111
Get Directions

PRIVATE DIAGNOSTIC CLINIC, PLLC is a general practice in Durham, NC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1457389033. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

40 DUKE MEDICINE CIR
DURHAM, NC
ZIP 27710-000
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 6/30/2006 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
1207P00000XEmergency MedicineNo
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineNo
4207V00000XObstetrics & GynecologyNo
5152W00000XOptometristNo
6207K00000XAllergy & ImmunologyNo
7207N00000XDermatologyNo
8207W00000XOphthalmologyNo
9207X00000XOrthopaedic SurgeryNo
10207Y00000XOtolaryngologyNo
11208000000XPediatricsNo
122084N0400XPsychiatry & NeurologyNeurologyNo
132085R0202XRadiologyDiagnostic RadiologyNo
14208800000XUrologyNo
15208D00000XGeneral PracticeYes

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

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.