MMG 1 PC NPI 1285873430

NPI Information

NPI: 1285873430
Provider Name: MMG 1 PC

Doing Business As: MILLENNIUM DIAGNOSTIC CENTER

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
28625 NORTHWESTERN HWY
SUITE 150
SOUTHFIELD, MI
ZIP 48034
Phone: (248) 945-0000
Get Directions

MMG 1 PC is a diagnostic radiology radiology in Southfield, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MMG 1 PC NPI is 1285873430. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Millennium Diagnostic Center.

The provider's business location address is:

28625 NORTHWESTERN HWY
SUITE 150
SOUTHFIELD, MI
ZIP 48034-828
Phone: (248) 945-0000
Fax: (248) 945-0724

The provider's authorized official is Geoffrey A. Trivax .
The authorized official title is President and has the following contact phone number (248) 354-9666.

The enumeration date for this NPI number is 2/11/2009 and was last updated on 5/24/2021.

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	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	No
2	207RM1200X	Internal Medicine	Magnetic Resonance Imaging (MRI)	No
3	207UN0901X	Nuclear Medicine	Nuclear Cardiology	No
4	208100000X	Physical Medicine & Rehabilitation		No
5	2085N0904X	Radiology	Nuclear Radiology	No
6	2085R0202X	Radiology	Diagnostic Radiology	Yes
7	2085R0204X	Radiology	Vascular & Interventional Radiology	No
8	2085U0001X	Radiology	Diagnostic Ultrasound	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	700F381060	OTHER	MICHIGAN	BLUE CARE NETWORK

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: 4/28/2024

NPI Synchronization or Removal

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