Northeast Cardiovascular

LBN: Private Diagnostic Clinic, Pllc
Northeast Cardiovascular is an health care organization with primary practice located at 200 Medical Park Dr Suite 230, Concord NC 28025-2982. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Private Diagnostic Clinic, Pllc can be contacted via phone (919) 684-8111, or through Frederick, Christopher Thomas via phone (919) 613-7762.

Contact Information

Primary practice address
200 Medical Park Dr Suite 230 Concord NC 28025-2982
Fax:
Website:
Authorized official contact:
Name: Frederick, Christopher Thomas

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1891728911
LBN Legal business name Private Diagnostic Clinic, Pllc
DBA Doing business as Northeast Cardiovascular
Authorized official Frederick, Christopher Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
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 1891728911 NPPES
North Carolina Other 0227Y BCBS GRP
North Carolina MEDICAID 890227Y BCBS GRP

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