Private Diagnostic Clinic, PLLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing business as

Duke Otolaryngology of Raleigh

Practice address

3480 Wake Forest Rd
Suite 404
Raleigh, NC 27609-7376

Phone

(919) 862-5730

NPI assigned

Sep 18, 2007

Last updated

Jul 11, 2022By the provider in NPPES

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

Cfo

Phone

(919) 613-7762

Specialties & licenses 1

Addresses

Other names 1

• DUKE OTOLARYNGOLOGY OF RALEIGH Doing business as

Locations

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1851587562",
    "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": "3480 WAKE FOREST RD",
            "address_2": "SUITE 404",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097376",
            "telephone_number": "919-862-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE DIAGNOSTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "919-613-7762"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DUKE OTOLARYNGOLOGY OF RALEIGH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DUKE OTOLARYNGOLOGY OF RALEIGH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Private Diagnostic Clinic, PLLC (Duke Metabolic and Weight Loss Surgery of Raleigh)
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• Private Diagnostic Clinic, PLLC (Piedmont Spine Specialists, PA)
• Private Diagnostic Clinic, PLLC (Duke Thoracic Surgery of Raleigh)
• Private Diagnostic Clinic, PLLC (Duke Perinatal Consultants)
• Private Diagnostic Clinic, PLLC (Capitol Pediatrics and Adolescent Center)
• Private Diagnostic Clinic, PLLC (Duke Cardiology of Raleigh)
• Shaunda Nicole Privette Fennell, CD(DONA)
• Priya N Tailor DMD PLLC (Midtown Smiles)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.