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

Private Diagnostic Clinic, PLLC

Organization Obstetrics & Gynecology Physician · NPI 1124051214

Private Diagnostic Clinic, PLLC is an Obstetrics & Gynecology Physician in Durham, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
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

5726 Fayetteville Rd Ste 101
Durham, NC 27713-6296
Phone: (919) 684-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1124051214
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Frederick — Cfo · (919) 613-7762
Other names Durham Ob/Gyn; Durham Ob/Gyn
NPI enumeratedJuly 9, 2006
Last updated in NPPESMay 13, 2022
Certification dateMay 13, 2022
Mailing addressPo Box 110566, Durham, NC 27709-5566

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