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

Private Diagnostic Clinic, PLLC

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1306879390

Private Diagnostic Clinic, PLLC is a Sports Medicine (Orthopaedic Surgery) Physician in Clayton, 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.

See every abbreviation used in this directory →

Practice location Address checks out

11618 US Highway 70 W Ste 200B
Clayton, NC 27520-2253
Phone: (919) 684-8111
Show map & directions

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

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X

Record details

NPI number1306879390
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Frederick — Cfo · (919) 613-7762
Other names University Orthopaedics And Sports Medicine Of Clayton; University Orthopaedics And Sports Medicine Of Clayton
NPI enumeratedJuly 10, 2006
Last updated in NPPESMay 15, 2022
Certification dateMay 15, 2022
Mailing addressPo Box 110566, Durham, NC 27709-5566