NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Private Diagnostic Clinic, Pllc

Prosthetic/Orthotic Supplier in Raleigh, NC · enumerated 2016 · authorized official Christopher Frederick, Cfo.

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

National Provider Identifier

1417407545

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Private Diagnostic Clinic, Pllc
Other name <Unavail>
Practice address 3480 Wake Forest Rd, Suite 204, Raleigh, NC, 27609
Phone (919) 862-5093
Fax (919) 862-5605
Enumeration date Oct 13, 2016
Last updated in NPPES May 18, 2022

Taxonomy & classification

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
207XX0005X Sports Medicine (Orthopaedic Surgery) Physician Allopathic & Osteopathic Physicians Secondary
335E00000X Prosthetic/Orthotic Supplier Suppliers Primary

Authorized official

Name Christopher Frederick
Title Cfo
Phone (919) 613-7762

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.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-05-18. Verify at npiregistry.cms.hhs.gov.
Where is Private Diagnostic Clinic, Pllc located?
The practice location on file with NPPES is in Raleigh, NC.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-05-18.