NORTHEAST CARDIOVASCULAR
NPI 1891728911
Internal Medicine - Cardiovascular Disease in Concord, NC

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

The NPI number for Private Diagnostic Clinic, PLLC is 1891728911. It was assigned to this organization in the NPPES registry on July 9, 2006. The provider is doing business as Northeast Cardiovascular.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since July 09, 2006

200 MEDICAL PARK DR, SUITE 230, CONCORD, NC 28025(919) 684-8111 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Northeast Cardiovascular NPPES

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

NORTHEAST CARDIOVASCULAR (NPI 1891728911) is a healthcare organization registered as a cardiovascular disease in Concord, North Carolina and active in the NPI registry since July 2006. The organization lists Christopher Thomas Frederick, Cfo, as its authorized official.

NPPES Registry Identity

NPI1891728911

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NamePRIVATE DIAGNOSTIC CLINIC, PLLC

Location Address200 MEDICAL PARK DR, SUITE 230Concord, NC 28025-2982

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 UpdateJuly 11, 2022

NPPES CertifiedJuly 11, 2022

✔ NPI 1891728911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

200 MEDICAL PARK DR, Concord, NC 28025

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Other Names 1

Doing Business AsNortheast Cardiovascular

Other Identifiers 2

Other0227YNC · Bcbs Grp

Medicaid890227YNC

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.

JACQUELINE TRACEY

Surgery

200 MEDICAL PARK DR, SUITE 430
CONCORD, NC 28025

Cabarrus County (704) 403-7070

CMC-NORTHEAST, INC.

Internal Medicine (Infectious Disease)

200 MEDICAL PARK DR, STE 208, NORTHEAST INFECTIOUS DISEASES
CONCORD, NC 28025

Cabarrus County (704) 403-1766

ASHLEY NOISETTE GREEN MD

Internal Medicine (Rheumatology)

200 MEDICAL PARK DR, STE 330
CONCORD, NC 28025

Cabarrus County (704) 403-1308

SARAH WOYTEK

Physician Assistant

200 MEDICAL PARK DR
CONCORD, NC 28025

Cabarrus County (704) 304-3000

BETTY ODELL NP

Nurse Practitioner

200 MEDICAL PARK DR, SUITE 145 NE ONCOLOGY
CONCORD, NC 28025

Cabarrus County (704) 783-1370

MARYAM HAMID MD

Internal Medicine

200 MEDICAL PARK DR, STE 300
CONCORD, NC 28025

Cabarrus County (704) 403-3676

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

Internal Medicine (Rheumatology)

200 MEDICAL PARK DR, STE 330
CONCORD, NC 28025

Cabarrus County (704) 403-1308

ALYSSA HUGGINS KUPRENAS MD

Internal Medicine

200 MEDICAL PARK DR, STE 550
CONCORD, NC 28025

Cabarrus County (704) 403-1307

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 1891728911. It was assigned to this organization in the NPPES registry on July 9, 2006. The provider is doing business as Northeast Cardiovascular.

Where is Private Diagnostic Clinic, PLLC located?

Private Diagnostic Clinic, PLLC is located at 200 Medical Park Dr Suite 230, Concord, NC 28025. The listed phone number is (919) 684-8111.

What is Private Diagnostic Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Private Diagnostic Clinic, PLLC was last updated on July 11, 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.