# PRIVATE DIAGNOSTIC CLINIC, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Duke Cardiovascular Surgery-Lumberton
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053344242
- **Authorized official:** CHRISTOPHER THOMAS FREDERICK (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (919) 613-7762

## Contact information

- **Practice address:** 2936 N ELM ST, SUITE 102, LUMBERTON, NC 28358-2981
- **Practice address phone:** (910) 671-6619
- **Mailing address:** PO BOX 110566, DURHAM, NC 27709-5566
- **Mailing address phone:** (919) 620-4855
- **Mailing address fax:** (919) 620-4921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 05/13/2022