| NPI | 1083930671 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2010-04-08 |
| Last Updated | 2022-05-13 |
| Authorized Official | Christopher Frederick CFO Phone: 9196137762 |
| Mailing Address | Po Box 110566 Durham, NC 27709-5566 United States Phone: (919) 620-4855 | Fax: (919) 620-4921 📍 View Map |
| Primary Practice Address | 4020 N Roxboro St Durham, NC 27704-2120 United States Phone: (919) 620-5333 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 208000000X – Pediatrics | - | - |
| Yes | 207R00000X – Internal Medicine | - | - |
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About NPI 1083930671
Private Diagnostic Clinic, Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1083930671. The primary specialty listed is Internal Medicine. The organization is located in Durham, NC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2010-04-08. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083930671?
NPI 1083930671 belongs to Private Diagnostic Clinic, Pllc, a Internal Medicine in Durham, NC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083930671 active?
The current status of NPI 1083930671 in the NPPES registry is Active. The record was last updated on 2022-05-13.
What specialty is NPI 1083930671?
NPI 1083930671 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1083930671?
You can verify NPI 1083930671 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1083930671?
The primary practice address on file for NPI 1083930671 is 4020 N Roxboro St, Durham, NC 27704-2120. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083930671 issued?
NPI 1083930671 was first issued (enumerated) on 2010-04-08. The NPPES record was last updated on 2022-05-13.
Practice Location Map
Private Diagnostic Clinic, Pllc is located at 4020 N Roxboro St, Durham, NC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Private Diagnostic Clinic, Pllc. All records sourced from the CMS NPPES registry.