| Private Diagnostic Clinic, Pllc | |
|
3700 Nw Cary Pkwy Suite 100 Cary NC 27513-8446 | |
| (919) 684-8111 | |
| Not Available |
| Full Name | Private Diagnostic Clinic, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3700 Nw Cary Pkwy, Cary, North Carolina |
| Authorized Official Name and Position | John Paul Dion (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9196137762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Private Diagnostic Clinic, Pllc Po Box 110566 Durham NC 27709-5566 Ph: (919) 620-4855 | Private Diagnostic Clinic, Pllc 3700 Nw Cary Pkwy Suite 100 Cary NC 27513-8446 Ph: (919) 684-8111 |
| NPI Number | 1013940295 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 05/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013940295 | NPI | - | NPPES |
| 017XM | Other | NC | BCBS GRP |
| 1029437093 | Other | TRICARE GRP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
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