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Private Diagnostic Clinic, Pllc

Internal Medicine Physician in Smithfield, NC · enumerated 2006 · authorized official Christopher Frederick, Cfo.

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

National Provider Identifier

1659304848

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Registry record

Entity type Organization (Type 2)
Legal business name Private Diagnostic Clinic, Pllc
Other name <Unavail>
Practice address 507 N Brightleaf Blvd, Suite 100, Smithfield, NC, 27577
Enumeration date Jul 9, 2006
Last updated in NPPES Jul 11, 2022

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Christopher Frederick
Title Cfo

Other identifiers

Identifier Type State Issuer
1029437033 Other - TRICARE GRP
0174U Other NC GRP
790174U 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

Where is Private Diagnostic Clinic, Pllc located?
The practice location on file with NPPES is in Smithfield, NC.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-07-11. Verify at npiregistry.cms.hhs.gov.

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