Active NPI
Millenium Healthcare Diagnostics, Inc.
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Tamarac, FL
National Provider Identifier
1053689877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- License
- HCC5165
- Legal business name
- MILLENIUM HEALTHCARE DIAGNOSTICS, INC.
- Doing business as
- Florida Open MRI
- Practice address
- 7201 NW 88TH Ave
Tamarac, FL 33321-2517 - Phone
- (954) 720-0903
- Fax
- (954) 720-4583
- NPI assigned
- Dec 7, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Miroslav Jaksic
- Title
- Chief Administrative Officer
- Phone
- (810) 623-3211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | HCC5165 | FL | Primary |
Addresses
Primary practice location
7201 NW 88TH Ave
Tamarac, FL 33321-2517
Mailing address
2929 S Caraway Rd
Suite 6
Jonesboro, AR 72401-7307
Phone (870) 275-7749
Other names 1
- Florida Open MRI
National Provider Directory
National Provider DirectoryLocations
2929 S Caraway Rd
Ste 6
Jonesboro, AR 72401
Phone (870) 275-7749
2860 Interstate 55
Ste 8
Marion, AR 72364
Phone (870) 275-7749
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Newport, AR
- NPI 1336195320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447286400000",
"number": "1053689877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 S CARAWAY RD",
"address_2": "SUITE 6",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724017307",
"telephone_number": "870-275-7749",
"fax_number": "870-275-6073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7201 NW 88TH AVE",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212517",
"telephone_number": "954-720-0903",
"fax_number": "954-720-4583"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLENIUM HEALTHCARE DIAGNOSTICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-07",
"last_updated": "2015-11-12",
"status": "A",
"authorized_official_last_name": "JAKSIC",
"authorized_official_first_name": "MIROSLAV",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "810-623-3211",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": "FL",
"license": "HCC5165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Florida Open MRI",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.