SOUTHEASTERN NEPHROLOGY ASSOC
NPI 1457641946
Internal Medicine - Nephrology in Wilmington, NC

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

The NPI number for Private Diagnostic Clinic, PLLC is 1457641946. It was assigned to this organization in the NPPES registry on April 18, 2011. The provider is doing business as Southeastern Nephrology Assoc.

Q: What is Private Diagnostic Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since April 18, 2011

1302 MEDICAL CENTER DR, WILMINGTON, NC 28401(910) 763-4401 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Southeastern Nephrology Assoc NPPES

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

SOUTHEASTERN NEPHROLOGY ASSOC (NPI 1457641946) is a healthcare organization registered as a nephrology in Wilmington, North Carolina and active in the NPI registry since April 2011. The organization lists Christopher Thomas Frederick, Cfo, as its authorized official.

NPPES Registry Identity

NPI1457641946

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NamePRIVATE DIAGNOSTIC CLINIC, PLLC

Location Address1302 MEDICAL CENTER DRWilmington, NC 28401-7503

Mailing AddressPo Box 110566Durham, NC 27709-5566 · (919) 620-4855 · Fax (919) 620-4921

Phone(910) 763-4401

Organization SubpartNo

Authorized OfficialChristopher Thomas FrederickCfo · (919) 613-7762

Enumeration DateApril 18, 2011

Last NPPES UpdateJuly 11, 2022

NPPES CertifiedJuly 11, 2022

✔ NPI 1457641946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1302 MEDICAL CENTER DR, Wilmington, NC 28401

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Other Names 1

Doing Business AsSoutheastern Nephrology Assoc

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

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.

DR. JAMES CARDEN MCCABE M.D.

Internal Medicine (Nephrology)