| Organization Name: | MILLENIUM HEALTHCARE DIAGNOSTICS, INC. |
| NPI Number: | 1053689877 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MIROSLAV JAKSIC (CHIEF ADMINISTRATIVE OFFICER) |
| Mailing Address: | 7201 Nw 88th Ave Tamarac |
| State: | FL US |
| Postal Code: | 333212517 |
| Phone Number: | 9547200903 |
| Fax Number: | 9547204583 |
| NPI Enumeration Date: | 12/07/2011 |
| NPI Last Update Date: | 11/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1200X |
| License Number: | HCC5165 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
| Taxonomy Definition: | |