<Unavail>

LBN: Private Diagnostic Clinic, Pllc
<Unavail> is an health care organization with primary practice located at 3404 Wake Forest Rd Suite 100, Raleigh NC 27609-7340. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Private Diagnostic Clinic, Pllc can be contacted via phone (919) 954-3050, or through Frederick, Christopher Thomas via phone (919) 613-7762.

Contact Information

Primary practice address
3404 Wake Forest Rd Suite 100 Raleigh NC 27609-7340
Phone: (919) 954-3050
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Frederick, Christopher Thomas
Phone: (919) 613-7762

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X

Profile Details

NPI number 1144246646
LBN Legal business name Private Diagnostic Clinic, Pllc
DBA Doing business as <Unavail>
Authorized official Frederick, Christopher Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2006
Last updated May 13th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144246646 NPPES
North Carolina Other 011GH BCBS GRP
North Carolina MEDICAID 89011GH BCBS GRP

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