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MILLENNIUM MEDICAL GROUP SOUTH PC NPI 1558500744


NPI Information

NPI: 1558500744
Provider Name: MILLENNIUM MEDICAL GROUP SOUTH PC

Doing Business As: MILLENNIUM SOUTH DIAGNOSTIC CENTER

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
8850 TELEGRAPH RD
TAYLOR, MI
ZIP 48180
Phone: (313) 299-2360
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MILLENNIUM MEDICAL GROUP SOUTH PC is a diagnostic radiology radiology in Taylor, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MILLENNIUM MEDICAL GROUP SOUTH PC NPI is 1558500744. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Millennium South Diagnostic Center.

The provider's business location address is:

8850 TELEGRAPH RD
TAYLOR, MI
ZIP 48180-316
Phone: (313) 299-2360
Fax: (313) 299-2362

The provider's authorized official is Abraham Slaim .
The authorized official title is President and has the following contact phone number (313) 295-3388.

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


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
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207UN0901XNuclear MedicineNuclear CardiologyNo
3208100000XPhysical Medicine & RehabilitationNo
42085U0001XRadiologyDiagnostic UltrasoundNo
52085R0202XRadiologyDiagnostic RadiologyYes

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

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