PRIVATE DIAGNOSTIC CLINIC NPI 1639617392

NPI Information

NPI: 1639617392
Provider Name: PRIVATE DIAGNOSTIC CLINIC

Doing Business As: DUKE CHILDREN'S PRIMARY CARE BRIER CREEK

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

Specialization: Primary Care

Address:
10211 ALM ST
SUITE 200
RALEIGH, NC
ZIP 27617
Phone: (919) 307-0301
Get Directions

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
1	261QP2300X	Clinic/Center	Primary Care	1881778785	NORTH CAROLINA	No
2	261QP2300X	Clinic/Center	Primary Care	1760566624	NORTH CAROLINA	No
3	261QP2300X	Clinic/Center	Primary Care	1386819795	NORTH CAROLINA	No
4	261QP2300X	Clinic/Center	Primary Care	1134395114	NORTH CAROLINA	No
5	261QP2300X	Clinic/Center	Primary Care	1598007866	NORTH CAROLINA	No
6	261QP2300X	Clinic/Center	Primary Care	1447306113	NORTH CAROLINA	Yes

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

NPI Synchronization or Removal

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