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DUKE GASTROENTEROLOGY OF RALEIGH
NPI 1700087194
Clinic/Center - Ambulatory Surgical in Raleigh, NC

Active since May 31, 2007CLIA 34D2312455 · Waiver
3480 WAKE FOREST RD, SUITE 500, RALEIGH, NC 27609(919) 862-5075 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 20, 2022, Jul 11, 2022, Aug 7, 2020 (3 updates tracked since 2020).

About Duke Gastroenterology Of Raleigh NPPES

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

DUKE GASTROENTEROLOGY OF RALEIGH (NPI 1700087194) is a healthcare organization registered as an ambulatory surgical in Raleigh, North Carolina and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through October 10, 2026 and lists Christopher Thomas Frederick, Cfo, as its authorized official.

NPPES Registry Identity

NPI1700087194
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePRIVATE DIAGNOSTIC CLINIC, PLLC
Location Address3480 WAKE FOREST RD, SUITE 500Raleigh, NC 27609-7376
Mailing AddressPo Box 110566Durham, NC 27709-5566 · (919) 620-4855 · Fax (919) 620-4921
Phone(919) 862-5075
Organization SubpartNo
Authorized OfficialChristopher Thomas FrederickCfo · (919) 613-7762
Enumeration DateMay 31, 2007
Last NPPES UpdateOctober 20, 20223 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
✔ NPI 1700087194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
3480 WAKE FOREST RD, Raleigh, NC 27609
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Other Names 1

Doing Business AsDuke Gastroenterology Of Raleigh

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 34D2312455

Duke Gastroenterology Of Raleigh · Raleigh, NC
Active · expires Oct 10, 2026
CLIA Number34D2312455
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 11, 2024
Certificate Expiration DateOctober 10, 2026
Laboratory DirectorDarin Dufault
Laboratory Phone(919) 862-5075
Laboratory LocationDuke Gastroenterology Of Raleigh3300 Executive Dr, Stes 100 And 101, Raleigh, NC 27609
CLIA data matches this NPI record on: Name Phone
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.

PRIVATE DIAGNOSTIC CLINIC, PLLC
Neurological Surgery
3480 WAKE FOREST RD, SUITE 500
RALEIGH, NC 27609
Wake County (919) 862-5075
DR. JUSTIN RICHARD SCRUGGS M.D.
Physical Medicine & Rehabilitation
3480 WAKE FOREST RD, # 208
RALEIGH, NC 27609
Wake County (919) 781-4541
AARON C LENTZ M.D.
Urology
3480 WAKE FOREST RD
RALEIGH, NC 27609
Wake County (919) 862-5600
JESSICA RENEE JONES PA
Physician Assistant
3480 WAKE FOREST RD, SUITE 414
RALEIGH, NC 27609
Wake County (919) 862-5970
MR. ZACHARY YATES LENNON AGACNP-BC
Nurse Practitioner (Acute Care)
3480 WAKE FOREST RD
RALEIGH, NC 27609
Wake County (919) 684-4267
KENSI COBB SAIA AUDIOLOGIST
Audiologist
3480 WAKE FOREST RD
RALEIGH, NC 27609
Wake County (919) 684-8111
MS. KATHERINE ANNE GILLIS PA-C
Physician Assistant (Surgical)
3480 WAKE FOREST RD, SUITE 512
RALEIGH, NC 27609
Wake County (919) 862-5970
MELISSA CATHLEEN GINESI AUDIOLOGIST
Audiologist
3480 WAKE FOREST RD, SUITE 404
RALEIGH, NC 27609
Wake County (919) 684-8111

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 1700087194. It was assigned to this organization in the NPPES registry on May 31, 2007. The provider is doing business as Duke Gastroenterology Of Raleigh.

Where is Private Diagnostic Clinic, PLLC located?

Private Diagnostic Clinic, PLLC is located at 3480 Wake Forest Rd Suite 500, Raleigh, NC 27609. The listed phone number is (919) 862-5075.

What is Private Diagnostic Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

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

Yes. A Certificate of Waiver (number 34D2312455) is associated with this NPI, valid through October 10, 2026. 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 October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.