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Contact Information

PRIVATE DIAGNOSTIC CLINIC, PLLC
600 NEW WAVERLY PL
SUITE 305
CARY, NC27518-7404
 Phone: 919-954-7720
 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 # 1710282918
LBN Legal business name PRIVATE DIAGNOSTIC CLINIC, PLLC
Authorized official PAUL NEWMAN - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/19/2011
Last updated 07/11/2022 - 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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