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

Private Diagnostic Clinic, PLLC

Organization Orthopaedic Surgery Physician · NPI 1417407545

Private Diagnostic Clinic, PLLC is an Orthopaedic Surgery Physician in Raleigh, North Carolina. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
3
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

3480 Wake Forest Rd Ste 204
Raleigh, NC 27609-7376
Phone: (919) 862-5093
Fax: (919) 862-5605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X

Record details

NPI number1417407545
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Frederick — Cfo · (919) 613-7762
Other names Duke Orthopaedics Of Raleigh; Duke Orthopaedics Of Raleigh
NPI enumeratedOctober 13, 2016
Last updated in NPPESMay 18, 2022
Certification dateMay 18, 2022
Mailing addressPo Box 110566, Durham, NC 27709-5566

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