Organization Active NPI

Millenium Healthcare Diagnostics, Inc.

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Tamarac, FL
National Provider Identifier
1053689877
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
HCC5165 Issued in FL
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

Updated by the provider on Nov 12, 2015

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.