OrganizationActive
Private Diagnostic Clinic, PLLC
NPI 1154654531 · Surgical Oncology Physician · Raleigh, NC
Provider details
- NPI number
- 1154654531
- Entity type
- Organization
- Primary specialty
- Surgical Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christopher Frederick, Cfo(919) 613-7762
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
3404 Wake Forest Rd
Suite 101
Raleigh, NC 27609-7340
Phone: (919) 954-3050
Street-level locationGet directions
Mailing address
Po Box 110566
Durham, NC 27709-5566
Other names (DBA / former)
- Doing business as
- Duke Surgical Oncology of Raleigh
- Doing business as
- Duke Surgical Oncology of Raleigh
Registry dates
- Enumerated
- 2009-09-16
- Last updated
- 2022-05-13
- Certified
- 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.