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Contact Information

PRIVATE DIAGNOSTIC CLINIC, PLLC
1126 N CHURCH ST
SUITE 203
GREENSBORO, NC27401-1027
 Phone: 336-235-0944
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
 

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for PRIVATE DIAGNOSTIC CLINIC, PLLC

NPI Number 1942532239
LBN Legal business name PRIVATE DIAGNOSTIC CLINIC, PLLC
Authorized official CHRISTOPHER FREDERICK - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/11/2010
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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