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Private Diagnostic Clinic, Pllc

Cardiovascular Disease Physician in Pembroke, NC · enumerated 2012 · authorized official Valla Wilson, Chief Compliance, Privacy & Audit.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073860045

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Registry record

Entity type Organization (Type 2)
Legal business name Private Diagnostic Clinic, Pllc
Other name <Unavail>
Practice address 812 Candy Park Rd, Pembroke, NC, 28372
Phone (910) 671-6619
Enumeration date Aug 9, 2012
Last updated in NPPES May 13, 2022

Taxonomy & classification

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Valla Wilson
Title Chief Compliance, Privacy & Audit
Phone (919) 668-5161

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Private Diagnostic Clinic, Pllc?
NPPES lists Valla Wilson (Chief Compliance, Privacy & Audit) as the authorized official for this organization.
What is the NPI number for Private Diagnostic Clinic, Pllc?
The NPI for Private Diagnostic Clinic, Pllc is 1073860045, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-05-13.