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DUKE UROLOGY OF RALEIGH
NPI 1235162314
Urology in Raleigh, NC

Active since July 09, 2006CLIA 34D2026351 · Waiver
3404 WAKE FOREST RD, SUITE 302, RALEIGH, NC 27609(919) 684-8111 Get Directions Write a Review

NPPES record last updated: May 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Duke Urology Of Raleigh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUKE UROLOGY OF RALEIGH (NPI 1235162314) is a healthcare organization registered as an urology in Raleigh, North Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 28, 2027 and lists Christopher Thomas Frederick, Cfo, as its authorized official.

NPPES Registry Identity

NPI1235162314
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NamePRIVATE DIAGNOSTIC CLINIC, PLLC
Location Address3404 WAKE FOREST RD, SUITE 302Raleigh, NC 27609-7340
Mailing AddressPo Box 110566Durham, NC 27709-5566 · (919) 620-4855 · Fax (919) 620-4921
Phone(919) 684-8111
Organization SubpartNo
Authorized OfficialChristopher Thomas FrederickCfo · (919) 613-7762
Enumeration DateJuly 9, 2006
Last NPPES UpdateMay 15, 2022
NPPES CertifiedMay 15, 2022
✔ NPI 1235162314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
3404 WAKE FOREST RD, Raleigh, NC 27609
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Other Names 1

Doing Business AsDuke Urology Of Raleigh

Other Identifiers 2

Medicaid7907025NC
Other07020NC · Grp

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2026351

Duke Urology Of Raleigh · Raleigh, NC
Active · expires Jun 28, 2027
CLIA Number34D2026351
Laboratory TypePhysician Office
Certificate Effective DateJune 29, 2025
Certificate Expiration DateJune 28, 2027
Laboratory DirectorChad M. Gridley
Laboratory Phone(919) 862-5600
Laboratory LocationDuke Urology Of Raleigh3480 Wake Forest Road, Suite 506, Raleigh, NC 27609
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASEY JOHNSON MS OTRL
Occupational Therapist (Hand)
3404 WAKE FOREST RD, SUITE 303
RALEIGH, NC 27609
Wake County (919) 872-3171
WINDSOR AUSTIN HOLT MD
Obstetrics & Gynecology
3404 WAKE FOREST RD, SUITE 100
RALEIGH, NC 27609
Wake County (919) 876-8225
MELISSA JO PETERSON NP-BC
Nurse Practitioner (Family)
3404 WAKE FOREST RD
RALEIGH, NC 27609
Wake County (919) 862-5400
MRS. MEGAN KATHLEEN BLACK MSN, APRN, AGNP-C
Nurse Practitioner
3404 WAKE FOREST RD
RALEIGH, NC 27609
Wake County (919) 862-5402
SOUTHEASTERN ORTHOPEDICS SPORTS MEDICINE & SHOULDER CENTER PA
Clinic/Center (Multi-Specialty)
3404 WAKE FOREST RD, STE 201
RALEIGH, NC 27609
Wake County (919) 256-1511
DR. MICHAEL DAVID SPIRITOS M.D.
Internal Medicine (Hematology & Oncology)
3404 WAKE FOREST RD, SUITE 202
RALEIGH, NC 27609
Wake County (919) 954-3050
PRIVATE DIAGNOSTIC CLINIC, PLLC
Internal Medicine (Hematology & Oncology)
3404 WAKE FOREST RD, SUITE 100
RALEIGH, NC 27609
Wake County (919) 954-3050
PRIVATE DIAGNOSTIC CLINIC, PLLC
Surgery (Surgical Oncology)
3404 WAKE FOREST RD, SUITE 101
RALEIGH, NC 27609
Wake County (919) 954-3050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Private Diagnostic Clinic, PLLC's NPI number?

The NPI number for Private Diagnostic Clinic, PLLC is 1235162314. It was assigned to this organization in the NPPES registry on July 9, 2006. The provider is doing business as Duke Urology Of Raleigh.

Where is Private Diagnostic Clinic, PLLC located?

Private Diagnostic Clinic, PLLC is located at 3404 Wake Forest Rd Suite 302, Raleigh, NC 27609. The listed phone number is (919) 684-8111.

What is Private Diagnostic Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Private Diagnostic Clinic, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2026351) is associated with this NPI, valid through June 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Private Diagnostic Clinic, PLLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Private Diagnostic Clinic, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Private Diagnostic Clinic, PLLC was last updated on May 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.