National Provider Identifier Database

PRIVATE DIAGNOSTIC CLINIC PLLC
Pediatric Cardiology

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.


Contact Information

PRIVATE DIAGNOSTIC CLINIC, PLLC
400 LIBERTY HILL RD
LUMBERTON, NC28358-3014
Phone: 910-739-3318
Fax: 910-671-3600
Website:
Specialty Taxonomy Code
* Pediatric Cardiology 2080P0202X
Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for PRIVATE DIAGNOSTIC CLINIC, PLLC

NPI Number 1326361189
Legal business name
LBN
PRIVATE DIAGNOSTIC CLINIC, PLLC
Authorized official CHRISTOPHER FREDERICK - (CFO)
Entity Organization
Organization subpart No
Enumeration date 03/09/2010
Last updated 05/15/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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