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

Private Diagnostic Clinic, PLLC

Organization Cardiovascular Disease Physician · NPI 1952692303

Private Diagnostic Clinic, PLLC is a Cardiovascular Disease Physician in Charlotte, North Carolina. Registered with an NPI since 2011.

In the registry since
2011
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

1718 E 4th St Ste 304
Charlotte, NC 28204-3261
Phone: (704) 316-1220
Fax: (704) 316-1230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X
Cardiovascular Disease Physician Taxonomy 207RC0000X

Record details

NPI number1952692303
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Frederick — Cfo · (919) 613-7762
Other names Duke Children'S Cardiology Of Charlotte; Duke Children'S Cardiology Of Charlotte
NPI enumeratedApril 20, 2011
Last updated in NPPESJuly 11, 2022
Certification dateJuly 11, 2022
Mailing addressPo Box 110566, Durham, NC 27709-5566

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