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 1477586469

Private Diagnostic Clinic, PLLC is an Internal Medicine Physician in Raleigh, 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.

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Practice location Address checks out

2304 Wesvill Ct Ste 210
Raleigh, NC 27607-2973
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

Record details

NPI number1477586469
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Frederick — Cfo · (919) 613-7762
Other names West Raleigh Internal Medicine; West Raleigh Internal Medicine
NPI enumeratedJuly 10, 2006
Last updated in NPPESJuly 11, 2022
Certification dateJuly 11, 2022
Mailing addressPo Box 110566, Durham, NC 27709-5566

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