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 1215259858

Private Diagnostic Clinic, PLLC provides Cardiovascular Disease Physician services in Fayetteville, North Carolina. Registered with an NPI since 2010.

In the registry since
2010
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

1991 Fordham Dr Ste 200
Fayetteville, NC 28304-3650
Phone: (910) 323-5940
Fax: (910) 323-9746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1215259858
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Frederick — Cfo · (919) 613-7762
Other names Duke Children'S Cardiology Of Fayetteville; Duke Children'S Cardiology Of Fayetteville
NPI enumeratedFebruary 24, 2010
Last updated in NPPESMay 15, 2022
Certification dateMay 15, 2022
Mailing addressPo Box 110566, Durham, NC 27709-5566

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