PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1952334120

NPI Information

PRIVATE DIAGNOSTIC CLINIC, PLLC is a cardiovascular disease internal medicine in Raleigh, NC. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1952334120. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Duke Cardiology Of Raleigh.

The provider's business location address is:

3320 WAKE FOREST RD
SUITE 200
RALEIGH, NC
ZIP 27609-300
Phone: (919) 862-5100

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 CLIA number assigned to this NPI record is 34D1033742 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 12/15/2011.

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:

Other Identifiers

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