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PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1841216348


NPI Information

NPI: 1841216348
Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing Business As: DUKE THORACIC SURGERY OF RALEIGH

Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
3480 WAKE FOREST RD
SUITE 512
RALEIGH, NC
ZIP 27609
Phone: (919) 862-5970
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PRIVATE DIAGNOSTIC CLINIC, PLLC is a thoracic surgery cardiothoracic vascular surgery in Raleigh, NC. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1841216348. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Duke Thoracic Surgery Of Raleigh.

The provider's business location address is:

3480 WAKE FOREST RD
SUITE 512
RALEIGH, NC
ZIP 27609-376
Phone: (919) 862-5970

The provider's authorized official is Mark L Cantrell .
The authorized official title is Chief Privacy & Compliance Officer and has the following contact phone number (919) 668-5161.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 12/8/2011.


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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes

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
1=========101OTHERNORTH CAROLINATRICARE GROUP NUMBER
2230575MEDICARE PINNORTH CAROLINA
3018FYOTHERNORTH CAROLINABCBS GROUP NUMBER
45904173MEDICAIDNORTH CAROLINA
5C08239MEDICARE PINVIRGINIA

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

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