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Contact Information

PRIVATE DIAGNOSTIC CLINIC, PLLC
750 LOMBARDY ST
SOUTH HILL, VA23970-2112
 Phone: 434-774-2417
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PRIVATE DIAGNOSTIC CLINIC, PLLC

NPI Number 1053507681
LBN Legal business name PRIVATE DIAGNOSTIC CLINIC, PLLC
Authorized official CHRISTOPHER FREDERICK - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/18/2007
Last updated 05/13/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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