Private Diagnostic Clinic, PLLC
NPI 1205150380ActiveOrganization· Internal Medicine, Pulmonary Disease· Raleigh, NC
Internal Medicine, Pulmonary Disease in Raleigh, North Carolina, registered in NPPES in March 2010. The authorized official on file is Christopher Thomas Frederick, Cfo.
Overview
| NPI | 1205150380 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 18, 2010 |
| Last updated in NPPES | May 13, 2022 |
| Certified by provider | May 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | — | — |
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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