NPI 1538616289
Private Diagnostic Clinic, PLLC
Practice location
- Address
- 1212 Cedarhurst Dr STE 102, Raleigh, NC 27609-5588
- Phone
- (919) 431-9911
- Mailing address
- PO Box 110566, Durham, NC 27709-5566
Authorised official
- Name
- Christopher T Frederick
- Title
- Cfo
- Phone
- (919) 620-4918
Registered specialties
Neurological Surgery Physician
Primary
Registry record
- NPI
- 1538616289
- Entity type
- Organization
- NPI issued
- 9 Sep 2016
- Record last updated
- 11 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.