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Private Diagnostic Clinic, Pllc

Cardiovascular Disease Physician in Roxboro, NC · enumerated 2006 · authorized official Christopher Frederick, Cfo.

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

National Provider Identifier

1609892108

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Registry record

Entity type Organization (Type 2)
Legal business name Private Diagnostic Clinic, Pllc
Other name <Unavail>
Practice address 615 Ridge Rd, Roxboro, NC, 27573
Phone (919) 684-8111
Enumeration date Jul 15, 2006
Last updated in NPPES Jul 11, 2022

Taxonomy & classification

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Primary

Authorized official

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

Other identifiers

Identifier Type State Issuer
02149 Other NC BCBS
8902149 Medicaid NC -

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

What is the NPI number for Private Diagnostic Clinic, Pllc?
The NPI for Private Diagnostic Clinic, Pllc is 1609892108, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Private Diagnostic Clinic, Pllc?
NPPES lists Christopher Frederick (Cfo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-11.