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 1164799979

Private Diagnostic Clinic, PLLC is a Surgery Physician in Durham, North Carolina. Registered with an NPI since 2011.

In the registry since
2011
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

3901 N Roxboro St Ste 101
Durham, NC 27704-2181
Phone: (919) 479-4120
Fax: (919) 479-4237
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1164799979
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Frederick — Cfo · (919) 613-7762
Other names Regional Neurosurgery; Regional Neurosurgery
NPI enumeratedNovember 22, 2011
Last updated in NPPESMay 13, 2022
Certification dateMay 13, 2022
Mailing addressPo Box 110566, Durham, NC 27709-5566

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