Private Diagnostic Clinic, Pllc in Durham - Podiatrist
Private Diagnostic Clinic, Pllc - NPI 1902839012
Private Diagnostic Clinic, Pllc is a Podiatrist in Durham, North Carolina. Private Diagnostic Clinic, Pllc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Private Diagnostic Clinic, Pllc is 1902839012. The last update date is 2022-07-11.
Private Diagnostic Clinic, Pllc's current location address is Po Box 110566, Durham, North Carolina. You can contact this provider via phone number 9196204855 and fax number 9196204921. The mailing address for Private Diagnostic Clinic, Pllc is Po Box 110566, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Private Diagnostic Clinic, Pllc |
|---|---|
| Address | Po Box 110566, Durham, North Carolina |
| Phone Number | 9196204855 |
| Fax Number | 9196204921 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Frederick Thomas Christopher |
| Telephone Number | 9196137762 |
NPI Number Detail
| NPI Number | 1902839012 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2022-07-11 |
Provider Mailing Address Detail
| Address | Po Box 110566 |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 277095566 |
| Phone Number | 9196204855 |
| Fax Number | 9196204921 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
|
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7020 | NC | BCBS GRP | |
| 7907025 | NC | -- |
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What is the unique identifier code issued to Private Diagnostic Clinic, Pllc by the Centers for Medicare & Medicaid Services?
The Private Diagnostic Clinic, Pllc has been assigned the NPI (National Provider Identifier) 1902839012. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Private Diagnostic Clinic, Pllc?
The Private Diagnostic Clinic, Pllc is physically situated at Po Box 110566, in the city of Durham, state of NC, with the postal code 277095566.
What is the Private Diagnostic Clinic, Pllc's area of specialization and corresponding taxonomy classification?
The Private Diagnostic Clinic, Pllc's specialty field is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their specialties.
On what date did the Private Diagnostic Clinic, Pllc receive the assignment of its 1902839012 from the Centers for Medicare & Medicaid Services?
The Private Diagnostic Clinic, Pllc was issued its 1902839012 by the Centers for Medicare & Medicaid Services on 2006-07-09.
As of what date were the Private Diagnostic Clinic, Pllc's details last updated?
The information pertaining to the Private Diagnostic Clinic, Pllc, including its address, specialty, and other details, was most recently updated on 2022-07-11.
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