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

Private Diagnostic Clinic, PLLC

Organization Internal Medicine Physician · NPI 1366588212

Private Diagnostic Clinic, PLLC is an Internal Medicine Physician in Durham, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
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

2100 Erwin Rd
Durham, NC 27710-0001
Phone: (919) 684-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (NC)

Record details

NPI number1366588212
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Frederick — Cfo · (919) 613-7762
Other names General Internal Medicine Clinic; General Internal Medicine Clinic
NPI enumeratedJanuary 29, 2007
Last updated in NPPESMay 18, 2022
Certification dateMay 18, 2022
Mailing addressPo Box 110566, Durham, NC 27709-5566

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