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PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1255672473


NPI Information

NPI: 1255672473
Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing Business As: KERNODLE CLINIC-WEST

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 34D0899230

Address:
1234 HUFFMAN MILL RD
BURLINGTON, NC
ZIP 27215
Phone: (336) 538-1234
Get Directions

PRIVATE DIAGNOSTIC CLINIC, PLLC is an internal medicine in Burlington, NC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1255672473. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kernodle Clinic-west.

The provider's business location address is:

1234 HUFFMAN MILL RD
BURLINGTON, NC
ZIP 27215-700
Phone: (336) 538-1234

The provider's authorized official is Paul R Newman .
The authorized official title is Executive Director, Pdc and has the following contact phone number (919) 613-7652.

The CLIA number assigned to this NPI record is 34D0899230 - other with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/13/2013 and was last updated on 5/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
4207RG0100XInternal MedicineGastroenterologyNo
5207RP1001XInternal MedicinePulmonary DiseaseNo
6207RR0500XInternal MedicineRheumatologyNo
7207RS0010XInternal MedicineSports MedicineNo
8207V00000XObstetrics & GynecologyNo
9207X00000XOrthopaedic SurgeryNo
102084N0400XPsychiatry & NeurologyNeurologyNo
11208D00000XGeneral PracticeNo
12213E00000XPodiatristNo
13207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.