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

Private Diagnostic Clinic, PLLC

Organization Orthopaedic Surgery Physician · NPI 1902839012

Private Diagnostic Clinic, PLLC is an Orthopaedic Surgery Physician in Durham, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
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

3609 SW Durham Dr
Durham, NC 27707-6507
Phone: (919) 471-9622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Podiatrist Taxonomy 213E00000X

Record details

NPI number1902839012
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Frederick — Cfo · (919) 613-7762
Other names North Carolina Orthopaedic Clinic; North Carolina Orthopaedic Clinic
NPI enumeratedJuly 9, 2006
Last updated in NPPESJuly 11, 2022
Certification dateJuly 11, 2022
Mailing addressPo Box 110566, Durham, NC 27709-5566

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