Private Diagnostic Clinic, Pllc in Raleigh - Sports Medicine

Private Diagnostic Clinic, Pllc - NPI 1447283619

Private Diagnostic Clinic, Pllc is a Sports Medicine in Raleigh, North Carolina. Private Diagnostic Clinic, Pllc practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Private Diagnostic Clinic, Pllc is 1447283619. The last update date is 2022-07-11.

Private Diagnostic Clinic, Pllc's current location address is 5620 Six Forks Rd, Raleigh, North Carolina. You can contact this provider via phone number 9196848111. The mailing address for Private Diagnostic Clinic, Pllc is 5620 Six Forks Rd, Raleigh, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Private Diagnostic Clinic, Pllc
Address 5620 Six Forks Rd, Raleigh, North Carolina
Phone Number 9196848111
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CFO
Authorized Official Name Frederick Thomas Christopher
Telephone Number 9196137762

NPI Number Detail

NPI Number 1447283619
Provider Enumeration Date 2006-07-09
Last Updated Date 2022-07-11

Provider Mailing Address Detail

Address 5620 Six Forks Rd
City Raleigh
State North Carolina (NC)
Post Code 276098619
Phone Number 9196848111
Fax Number

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Xx0005X
Definition:
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0263G NC GROUP
890263G NC --

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FAQs about Private Diagnostic Clinic, Pllc

What is the unique identification code assigned to Private Diagnostic Clinic, Pllc by the Centers for Medicare & Medicaid Services?

The Private Diagnostic Clinic, Pllc has been issued the NPI (National Provider Identifier) 1447283619. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Private Diagnostic Clinic, Pllc is physically located?

The Private Diagnostic Clinic, Pllc is situated at the following address: 5620 Six Forks Rd, Raleigh, NC 276098619.

What is Private Diagnostic Clinic, Pllc's area of expertise and its corresponding taxonomy classification?

The Private Diagnostic Clinic, Pllc's field of specialization is Sports Medicine, and it falls under the taxonomy code 207Xx0005X, which categorizes healthcare providers based on their areas of practice.

On what date did the Private Diagnostic Clinic, Pllc receive the assignment of its 1447283619 from the Centers for Medicare & Medicaid Services?

The Private Diagnostic Clinic, Pllc was issued its 1447283619 by the Centers for Medicare & Medicaid Services on 2006-07-09.

When was the information regarding Private Diagnostic Clinic, Pllc most recently updated?

The details pertaining to the Private Diagnostic Clinic, Pllc, including its address, specialty, and other relevant information, were last refreshed on 2022-07-11.

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