PRIVATE DIAGNOSTIC CLINIC


Address: 10211 Alm St, Suite 200, Raleigh, NC 27617-8221
Phone: 9193070301

PRIVATE DIAGNOSTIC CLINIC (NPI# 1639617392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639617392
Entity Type Organization
Organization Name PRIVATE DIAGNOSTIC CLINIC
Other Organization Name DUKE CHILDREN'S PRIMARY CARE BRIER CREEK
Practice Address 10211 Alm St
Suite 200
Raleigh
NC 27617-8221
Practice Telephone 9193070301
Practice Fax Number 9193070323
Mailing Telephone 9193070301
Mailing Fax Number 9193070323
Enumeration Date 2017-02-02
Last Update Date 2017-02-02
Authorized Official Name KENNI WATKINS (FINANICAL CARE COUNSLOR)
Authorized Official Telephone 9193070301
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QP2300X Clinic/Center
Specialization: Primary Care
1881778785 NC Ambulatory Health Care Facilities
N 261QP2300X Clinic/Center
Specialization: Primary Care
1760566624 NC Ambulatory Health Care Facilities
N 261QP2300X Clinic/Center
Specialization: Primary Care
1386819795 NC Ambulatory Health Care Facilities
N 261QP2300X Clinic/Center
Specialization: Primary Care
1134395114 NC Ambulatory Health Care Facilities
N 261QP2300X Clinic/Center
Specialization: Primary Care
1598007866 NC Ambulatory Health Care Facilities
Y 261QP2300X Clinic/Center
Specialization: Primary Care
1447306113 NC Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
DUKE CHILDREN'S PRIMARY CARE BRIER CREEK Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities PRIVATE DIAGNOSTIC CLINIC, PLLC Duke University Medical Center, Durham, NC 27710-0001

Office Location

Street Address 10211 ALM ST
SUITE 200
City RALEIGH
State NC
Zip Code 27617-8221

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023001484 Soenda P Norman Family Medicine 10211 Alm St, Suite 1200, Raleigh, NC 27617-8221 2005-08-31
1023635752 Hayley Lynn Hedges Physical Therapist 10211 Alm St, Raleigh, NC 27617-8221 2020-06-29
1588141147 Jillian Paige Meyer Physical Therapist 10211 Alm St, Raleigh, NC 27617-8221 2018-07-25
1508383506 Koren R Wagner Physical Therapist 10211 Alm St, Raleigh, NC 27617-8221 2017-08-29
1255857595 Sara Wilson Physician Assistant 10211 Alm St, Raleigh, NC 27617-8221 2017-08-18
1477099471 Private Diagnositc Clinic Clinic/Center 10211 Alm St, Suite 200, Raleigh, NC 27617-8221 2017-01-13
1982083986 Alexandra Dionne Hill Physical Therapist 10211 Alm St, Raleigh, NC 27617-8221 2015-05-22
1427453364 Neha Desai Nurse Practitioner 10211 Alm St, Suite 1100, Raleigh, NC 27617-8221 2014-11-04
1194156463 Jocelyn Sky Rothbart Physical Therapist 10211 Alm St, Suite 203, Raleigh, NC 27617-8221 2013-12-11
1568701050 Jamie Stabile Smith Physician Assistant 10211 Alm St, Suite 1200, Raleigh, NC 27617-8221 2013-02-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285243808 Maja V Martin Dds Pa II Clinic/Center 4203 Corners Pkwy, Ste 100, Raleigh, NC 27617 2020-07-29
1568006310 Aubrey Nicole Stephenson Dietitian, Registered 8801 Fast Park Dr Suite 211, Raleigh, NC 27617 2019-11-05
1982114567 Method Manual Physical Therapy and Wellness LLC Physical Therapist 9244 Miranda Drive, Raleigh, NC 27617 2017-10-09
1588182539 Aqsa Salman Counselor 11736 Dellcain Court, Raleigh, NC 27617 2017-08-30
1962942326 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 10440 Glenwood, Durham, NC 27617 2017-03-06
1457896037 Emergeortho Pa Durable Medical Equipment & Medical Supplies 7850 Brier Creek Parkway, Suites 200, Raleigh, NC 27617 2017-01-05
1033667621 Hillary Houghton Nurse Practitioner 10211 Alm St # 210, Raleigh, NC 27617 2016-09-13
1821449406 John William Langel Optometrist 8851 Ellstree Ln Ste 200, Raleigh, NC 27617 2016-06-24
1821457789 Acariahealth Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 7231 Acc Blvd Ste 103, Raleigh, NC 27617 2016-02-19
1033583760 America Alisha Allen Social Worker 8610 Brittdale Lane, Apt 307, Raleigh, NC 27617 2015-11-18
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003326802 Essential Health & Wellness Raleigh Clinic/Center 2011 Falls Valley Dr Ste 111, Raleigh, NC 27615-3451 2017-10-05
1932571809 Horizon Family Medicine Clinic/Center 308 S Blount St, Apartment 403, Raleigh, NC 27601-3102 2015-10-30
1093146177 Med One Clinic/Center 2431 Spring Forest Rd Ste 111, Raleigh, NC 27615-7525 2013-11-27
1255771119 Neighborhealth Center, Inc. Clinic/Center 4201 Lake Boone Trl Ste 5, Raleigh, NC 27607-7511 2013-06-25
1821266198 Octavian M. Belcea, Md Pa Clinic/Center 2810 Wakefield Pines Dr Ste 115, Raleigh, NC 27614-7078 2008-02-20
1861678120 Daniel T Sicking Md Pa Clinic/Center 14341 New Falls of Neuse Ste 100, Raleigh, NC 27614-8292 2008-01-17
1649352162 Smartcare Operations Group, Inc. Clinic/Center 6140 Falls of The Neuse Road, Raleigh, NC 27609 2006-10-20
1871121269 Bethany Shaffer Flinchum Clinic/Center 3000 New Bern Ave, Raleigh, NC 27610-1231 2020-03-31
1477099471 Private Diagnositc Clinic Clinic/Center 10211 Alm St, Suite 200, Raleigh, NC 27617-8221 2017-01-13
1508318114 Sentinel Primary Care Clinic/Center 10208 Cerny St, Suite 308, Raleigh, NC 27617-7884 2016-10-30
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Competitor

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City RALEIGH
Zip Code 27617

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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