Durham Regional Hospital

LBN: Private Diagnostic Clinic, Pllc
Durham Regional Hospital is an health care organization with primary practice located at 3643 N Roxboro St , Durham NC 27704-2702. The organization recently has 9 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Surgery, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Private Diagnostic Clinic, Pllc can be contacted via phone (919) 470-4000, or through Frederick, Christopher Thomas via phone (919) 613-7762.

Contact Information

Primary practice address
3643 N Roxboro St Durham NC 27704-2702
Phone: (919) 470-4000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Frederick, Christopher Thomas
Phone: (919) 613-7762

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X North Carolina
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X North Carolina
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X North Carolina
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X North Carolina
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X North Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X North Carolina

Profile Details

NPI number 1790941755
LBN Legal business name Private Diagnostic Clinic, Pllc
DBA Doing business as Durham Regional Hospital
Authorized official Frederick, Christopher Thomas
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 30th, 2008
Last updated Jul 11th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790941755 NPPES
North Carolina MEDICAID 5903564

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