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PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1821321217


NPI Information

NPI: 1821321217
Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing Business As: RALEIGH NEUROLOGY ASSOCIATES

Classification: Neurological Surgery - 207T00000X
Entity Type: Organization

CLIA Number: 34D2090862

Address:
1540 SUNDAY DR
RALEIGH, NC
ZIP 27607
Phone: (919) 782-3456
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PRIVATE DIAGNOSTIC CLINIC, PLLC is a neurological surgery in Raleigh, NC. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1821321217. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Raleigh Neurology Associates.

The provider's business location address is:

1540 SUNDAY DR
RALEIGH, NC
ZIP 27607-010
Phone: (919) 782-3456

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 CLIA number assigned to this NPI record is 34D2090862 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/16/2009 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
1207T00000XNeurological SurgeryYes

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

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