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

Private Diagnostic Clinic, PLLC

Organization Gastroenterology Physician · NPI 1700087194

Private Diagnostic Clinic, PLLC is a Gastroenterology Physician in Raleigh, North Carolina. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
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 500
Raleigh, NC 27609-7376
Phone: (919) 862-5075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X
Gastroenterology Physician Taxonomy 207RG0100X

Record details

NPI number1700087194
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Frederick — Cfo · (919) 613-7762
Other names Duke Gastroenterology Of Raleigh; Duke Gastroenterology Of Raleigh
NPI enumeratedMay 31, 2007
Last updated in NPPESOctober 20, 2022
Certification dateOctober 20, 2022
Mailing addressPo Box 110566, Durham, NC 27709-5566

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