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Contact Information

PRIVATE DIAGNOSTIC CLINIC, PLLC
2608 ERWIN RD STE 200
DURHAM, NC27705-4597
 Phone: 919-684-6327
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for PRIVATE DIAGNOSTIC CLINIC, PLLC

NPI # 1205159316
LBN Legal business name PRIVATE DIAGNOSTIC CLINIC, PLLC
Authorized official CHRISTOPHER FREDERICK - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/03/2010
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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