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Private Diagnostic Clinic, PLLC

NPI 1558639864ActiveOrganization· General Practice· Durham, NC

General Practice in Durham, North Carolina, registered in NPPES in December 2011. The authorized official on file is Christopher Thomas Frederick, Cfo.

Overview

NPI1558639864
StatusActive
Entity typeOrganization
NPI issuedDec 1, 2011
Last updated in NPPESJul 11, 2022
Certified by providerJul 11, 2022

Specialties and licenses

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other General Practice providers in Durham

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