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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 Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PRIVATE DIAGNOSTIC CLINIC, PLLC

NPI # 1326361189
LBN Legal business name PRIVATE DIAGNOSTIC CLINIC, PLLC
Authorized official CHRISTOPHER FREDERICK - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/09/2010
Last updated 05/15/2022 - 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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