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

Private Diagnostic Clinic, PLLC

Organization Sports Medicine (Family Medicine) Physician · NPI 1538410386

Private Diagnostic Clinic, PLLC provides Sports Medicine (Family Medicine) Physician services in Raleigh, North Carolina. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

8300 Health Park Ste 107
Raleigh, NC 27615-4730
Phone: (919) 238-2000
Show map & directions

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

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1538410386
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Frederick — Cfo · (919) 613-7762
Other names Carolina Family Practice & Sports Medicine-Raleigh; Carolina Family Practice & Sports Medicine-Raleigh
NPI enumeratedSeptember 19, 2012
Last updated in NPPESJuly 11, 2022
Certification dateJuly 11, 2022
Mailing addressPo Box 110566, Durham, NC 27709-5566

Other providers in Raleigh