Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Private Diagnostic Clinic, PLLC

Organization Medical Oncology Physician · NPI 1114073160

Private Diagnostic Clinic, PLLC is a Medical Oncology Physician in Lumberton, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1200 Pine Run Dr
Lumberton, NC 28358-2180
Phone: (910) 671-5730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Oncology Physician (primary) Taxonomy 207RX0202X (NC)

Record details

NPI number1114073160
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Frederick — Cfo · (919) 613-7762
Other names Lumberton Oncology; Lumberton Oncology
NPI enumeratedJanuary 25, 2007
Last updated in NPPESMay 13, 2022
Certification dateMay 13, 2022
Mailing addressPo Box 110566, Durham, NC 27709-5566

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