PRIVATE DIAGNOSTIC CLINIC NPI 1639617392

NPI Information

  • NPI: 1639617392
  • Provider Name: PRIVATE DIAGNOSTIC CLINIC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: DUKE CHILDREN'S PRIMARY CARE BRIER CREEK
  • CLIA Number: 34D2112709
  • Address: 10211 ALM ST
    SUITE 200
    RALEIGH, NC
    ZIP 27617
  • Phone: (919) 307-0301

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NPI Details

PRIVATE DIAGNOSTIC CLINIC is a primary care clinic center in Raleigh, NC. PRIVATE DIAGNOSTIC CLINIC NPI is 1639617392. The provider is registered as an organization entity type.
The provider Is Doing Business As Duke Children's Primary Care Brier Creek.

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 Watkins .
The authorized official title is Finanical Care Counslor and has the following contact phone number (919) 307-0301.

The CLIA number assigned to this NPI record is 34D2112709 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2017 and was last updated on 2/2/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care1881778785NORTH CAROLINANo
2261QP2300XClinic/CenterPrimary Care1760566624NORTH CAROLINANo
3261QP2300XClinic/CenterPrimary Care1386819795NORTH CAROLINANo
4261QP2300XClinic/CenterPrimary Care1134395114NORTH CAROLINANo
5261QP2300XClinic/CenterPrimary Care1598007866NORTH CAROLINANo
6261QP2300XClinic/CenterPrimary Care1447306113NORTH CAROLINAYes

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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