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PRIVATE DIAGNOSITC CLINIC NPI 1477099471


NPI Information

NPI: 1477099471
Provider Name: PRIVATE DIAGNOSITC CLINIC

Other Name: DUKE CHILDREN'S PRIMARY CARE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
10211 ALM ST
SUITE 200
RALEIGH, NC
ZIP 27617
Phone: (919) 307-0301
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PRIVATE DIAGNOSITC CLINIC is a primary care clinic center in Raleigh, NC. PRIVATE DIAGNOSITC CLINIC NPI is 1477099471. The provider is registered as an organization entity type.
The provider Other Name Is Duke Children's Primary Care.

The provider's business location address is:

10211 ALM ST
SUITE 200
RALEIGH, NC
ZIP 27617-221
Phone: (919) 307-0301
Fax: (919) 307-0323

The provider's authorized official is Kenni Alisha Watkins .
The authorized official title is Financial Care Counslor and has the following contact phone number (919) 307-0301.

The enumeration date for this NPI number is 1/13/2017 and was last updated on 1/13/2017.


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
1261QP2300XClinic/CenterPrimary Care561029437NORTH 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
11447306113MEDICAIDNORTH CAROLINA

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.