Private Diagnostic Clinic, PLLC.
NPI 1053622654ActiveOrganization· Urology· Durham, NC
Urology in Durham, North Carolina, registered in NPPES in June 2010. The authorized official on file is Christopher Thomas Frederick, Chief Financial Officer.
Overview
| NPI | 1053622654 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 29, 2010 |
| Last updated in NPPES | May 13, 2022 |
| Certified by provider | May 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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