Organization · Type 2 NPI

Private Diagnostic Clinic, PLLC

Prosthetic/Orthotic Supplier · Raleigh, NC

NPI number 1417407545 Active

Practice location

3480 Wake Forest Rd, Suite 204
Raleigh, NC 27609-7376

Call (919) 862-5093 Map

Fax (919) 862-5605

Mailing address

PO Box 110566
Durham, NC 27709-5566

Specialties and licenses

Taxonomy	Code	License
Orthopaedic Surgery Physician	207X00000X	None listed
Sports Medicine (Orthopaedic Surgery) Physician	207XX0005X	None listed
Prosthetic/Orthotic Supplier Primary	335E00000X	None listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

42 other providers at this address

Other prosthetic/orthotic supplier providers in Raleigh

See all in Raleigh →

NPI record

NPI: 1417407545
Entity type: Organization (Type 2)
Issued: Oct 13, 2016
Last updated: May 18, 2022
Status: Active

Other names

<unavail>
Duke Orthopaedics of Raleigh · doing business as
Duke Orthopaedics of Raleigh · doing business as

Authorized official

Christopher Thomas Frederick
CFO
(919) 613-7762

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1417407545

Private Diagnostic Clinic, PLLC's National Provider Identifier is 1417407545, issued on Oct 13, 2016. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Raleigh, NC. The record was last updated on May 18, 2022.