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

Private Diagnostic Clinic, PLLC

Organization Surgery Physician · NPI 1164799979

Private Diagnostic Clinic, PLLC provides Surgery Physician services in Durham, North Carolina. Registered with an NPI since 2011.

In the registry since
2011
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

3901 N Roxboro St Ste 101
Durham, NC 27704-2181
Phone: (919) 479-4120
Fax: (919) 479-4237
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1164799979
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Frederick — Cfo · (919) 613-7762
Other names Regional Neurosurgery; Regional Neurosurgery
NPI enumeratedNovember 22, 2011
Last updated in NPPESMay 13, 2022
Certification dateMay 13, 2022
Mailing addressPo Box 110566, Durham, NC 27709-5566

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