Private Diagnostic Clinic, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PRIVATE DIAGNOSTIC CLINIC, PLLC

Practice address

1212 Cedarhurst Drive
Suite 102
Raleigh, NC 27609-5588

Phone

(919) 684-8111

NPI assigned

Feb 18, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher Thomas Frederick

Title

Chief Financial Officer

Phone

(919) 613-7762

Specialties & licenses 1

Addresses

Other names 1

• Duke General Surgery of Raleigh Cedarhurst Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1023330016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110566",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277095566",
            "telephone_number": "919-620-4855",
            "fax_number": "919-620-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 CEDARHURST DRIVE",
            "address_2": "SUITE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095588",
            "telephone_number": "919-684-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE DIAGNOSTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "919-613-7762"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duke General Surgery of Raleigh Cedarhurst",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Duke General Surgery of Raleigh Cedarhurst",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lia Pritt, PA-C
• Private Diagnositc Clinic
• Private Diagnostic Clinic
• Private Diagnostic Clinic, PLLC
• Private Diagnostic Clinic, PLLC
• Private Diagnostic Clinic, PLLC
• Private Diagnostic Clinic, PLLC
• Private Diagnostic Clinic, PLLC
• Private Diagnostic Clinic, PLLC
• Private Diagnostic Clinic, PLLC

• Surgery Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.