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

Private Diagnostic Clinic, PLLC

Organization Surgery Physician · NPI 1154654531

Private Diagnostic Clinic, PLLC is a Surgery Physician in Raleigh, North Carolina. Registered with an NPI since 2009.

In the registry since
2009
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

3404 Wake Forest Rd Ste 101
Raleigh, NC 27609-7340
Phone: (919) 954-3050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Oncology Physician (primary) Taxonomy 2086X0206X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1154654531
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Frederick — Cfo · (919) 613-7762
Other names Duke Surgical Oncology Of Raleigh; Duke Surgical Oncology Of Raleigh
NPI enumeratedSeptember 16, 2009
Last updated in NPPESMay 13, 2022
Certification dateMay 13, 2022
Mailing addressPo Box 110566, Durham, NC 27709-5566

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