SOUTHERN HIGH WELLNESS CTR.
NPI 1972826568
Family Medicine in Durham, NC

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

The NPI number for Private Diagnostic Clinic, PLLC is 1972826568. It was assigned to this organization in the NPPES registry on March 10, 2010. The provider is doing business as Southern High Wellness Ctr..

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 10, 2010CLIA 34D0913719 · Microscopy

800 CLAYTON RD, DURHAM, NC 27703(919) 560-2536 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 Southern High Wellness Ctr. NPPES

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

SOUTHERN HIGH WELLNESS CTR. (NPI 1972826568) is a healthcare organization registered as a family medicine in Durham, North Carolina and active in the NPI registry since March 2010. The organization holds a CLIA Microscopy certificate valid through April 8, 2028 and lists Christopher Thomas Frederick, Cfo, as its authorized official.

NPPES Registry Identity

NPI1972826568

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePRIVATE DIAGNOSTIC CLINIC, PLLC

Location Address800 CLAYTON RDDurham, NC 27703-2606

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

Phone(919) 560-2536

Organization SubpartNo

Authorized OfficialChristopher Thomas FrederickCfo · (919) 613-7762

Enumeration DateMarch 10, 2010

Last NPPES UpdateJuly 11, 2022

NPPES CertifiedJuly 11, 2022

✔ NPI 1972826568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

800 CLAYTON RD, Durham, NC 27703

Open in Google Maps ↗

Other Names 1

Doing Business AsSouthern High Wellness Ctr.

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

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 for Provider-Performed Microscopy Procedures (PPMP) 34D0913719

Southern High School Wellness Center · Durham, NC

Active · expires Apr 8, 2028

CLIA Number34D0913719

Laboratory TypeSchool/Student Health Service

Certificate Effective DateApril 9, 2026

Certificate Expiration DateApril 8, 2028

Laboratory DirectorJamie E. Mancuso

Laboratory Phone(919) 560-2536

Laboratory LocationSouthern High School Wellness Center800 Clayton Road, Durham, NC 27703

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

LYDIA A KIEFER

Counselor (School)

800 CLAYTON RD
DURHAM, NC 27703

Durham County (919) 560-3968

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 1972826568. It was assigned to this organization in the NPPES registry on March 10, 2010. The provider is doing business as Southern High Wellness Ctr..

Where is Private Diagnostic Clinic, PLLC located?

Private Diagnostic Clinic, PLLC is located at 800 Clayton Rd, Durham, NC 27703. The listed phone number is (919) 560-2536.

What is Private Diagnostic Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0913719) is associated with this NPI, valid through April 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.