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 1962952093

Private Diagnostic Clinic, PLLC is an Orthopaedic Surgery Physician in Durham, 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

3609 SW Durham Dr
Durham, NC 27707-6507
Phone: (919) 417-9622
Fax: (919) 477-1929
Show map & directions

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 number1962952093
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Frederick — Practice Chief Financial Officer · (919) 620-1055
Other names North Carolina Orthopaedic Clinic; North Carolina Orthopaedic Clinic
NPI enumeratedOctober 13, 2016
Last updated in NPPESJuly 11, 2022
Certification dateJuly 11, 2022
Mailing addressPo Box 110566, Durham, NC 27709-5566

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