Organization Active NPI

New Millennium Training LLC

  • Clinical Medical Laboratory
  • Blountstown, FL
National Provider Identifier
1134729700
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NEW MILLENNIUM TRAINING LLC
Practice address
20124 Central Ave W
Blountstown, FL 32424-1943
Phone
(850) 447-1720
NPI assigned
Oct 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marshell SolomonNPI 1275075145
Title
Ceo
Phone
(850) 447-1720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

20124 Central Ave W
Blountstown, FL 32424-1943

Mailing address

20124 Central Ave W
Blountstown, FL 32424-1943
Phone (850) 447-1720

Other names 1

  • New Millennium Labs Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2197337New Millennium Training LLC20124 West Central Avenue, Blountstown, FL 32424Certificate of waiverOct 22, 2026

National Provider Directory

National Provider Directory

Locations

20124 Central Ave W
Blountstown, FL 32424
Phone (850) 447-1720

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": "1604102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1134729700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20124 CENTRAL AVE W",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324241943",
            "telephone_number": "850-447-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20124 CENTRAL AVE W",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324241943",
            "telephone_number": "850-447-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MILLENNIUM TRAINING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-31",
        "last_updated": "2021-02-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "MARSHELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-447-1720"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Millennium Labs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Millennium Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blountstown, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.