Private Diagnostic Clinic, PLLC
NPI 1073860045 · Cardiovascular Disease Physician · Pembroke, NC
Private Diagnostic Clinic, PLLC is a Cardiovascular Disease Physician organization in Pembroke, NC (NPI 1073860045).
Provider details
- NPI number
- 1073860045
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Valla Wilson, Chief Compliance, Privacy & Audit(919) 668-5161
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Duke Cardiology Pembroke
- Doing business as
- Duke Cardiology Pembroke
Registry dates
- Enumerated
- 2012-08-09
- Last updated
- 2022-05-13
- Certified
- 2022-05-13
Frequently asked questions
- What is Private Diagnostic Clinic, PLLC's NPI number?
- Private Diagnostic Clinic, PLLC's National Provider Identifier (NPI) is 1073860045, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Private Diagnostic Clinic, PLLC?
- Private Diagnostic Clinic, PLLC is classified in the NPPES registry as Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Private Diagnostic Clinic, PLLC located?
- Private Diagnostic Clinic, PLLC's practice location on file with NPPES is 812 Candy Park Rd, Pembroke, NC 28372-9129.
- What is Private Diagnostic Clinic, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Private Diagnostic Clinic, PLLC is (910) 671-6619.
- Who is the authorized official for Private Diagnostic Clinic, PLLC?
- The authorized official listed on Private Diagnostic Clinic, PLLC's NPPES record is Valla Wilson, Chief Compliance, Privacy & Audit. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Private Diagnostic Clinic, PLLC's NPI active?
- Yes — Private Diagnostic Clinic, PLLC's NPI (1073860045) is active in the NPPES registry as of the last update on 2022-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.