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

Private Diagnostic Clinic, PLLC

Organization Hematology & Oncology Physician · NPI 1235459926

Private Diagnostic Clinic, PLLC is a Hematology & Oncology Physician in Pembroke, North Carolina. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

812 Candy Park Rd
Pembroke, NC 28372-9129
Phone: (910) 671-5730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X

Record details

NPI number1235459926
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Frederick — Cfo · (919) 613-7762
Other names Southeastern Cancer-Pembroke; Southeastern Cancer-Pembroke
NPI enumeratedJune 4, 2010
Last updated in NPPESMay 15, 2022
Certification dateMay 15, 2022
Mailing addressPo Box 110566, Durham, NC 27709-5566