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

Private Diagnostic Clinic, PLLC

Organization Anesthesiology Physician · NPI 1154354322

Private Diagnostic Clinic, PLLC is an Anesthesiology Physician in Roxboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
2
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

615 Ridge Rd Ste 202
Roxboro, NC 27573-4629
Phone: (919) 684-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X (NC)

Record details

NPI number1154354322
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Frederick — Cfo · (919) 613-7762
Other names Duke Anesthesia Of Person County; Duke Anesthesia Of Person County
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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