Millennium Health, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MILLENNIUM HEALTH, LLC

Practice address

16981 Via Tazon
San Diego, CA 92127-1645

Phone

(877) 451-7337

Fax

(858) 408-3597

NPI assigned

Feb 5, 2008

Organization subpart

No

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

Authorized official

Name

Robert Neil Thomas

Title

Chief Financial Officer

Phone

(877) 451-7337

Specialties & licenses 1

Addresses

Other names 1

• Millennium Laboratories Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Tax ID family

Millennium Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Millennium Health, LLC

  • Clinical Medical Laboratory
  • Ann Arbor, MI
  • NPI 1548502255
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amadeo Pesce, PHD

  • Chemical Pathology Physician
  • San Diego, CA
  • NPI 1972807683
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1497933162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 841773",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16981 VIA TAZON",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271645",
            "telephone_number": "877-451-7337",
            "fax_number": "858-408-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "877-451-7337"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millennium Laboratories Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Millennium Laboratories Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sean Millard
• William Wilbur Millard II, M.D.
• Stephen Michael Millbern, MD
• Christina Millen, MA
• Marlene May Millen, MD
• Marilyn Miller Betancourt
• Shanna Michael Miller-Nabas, RDN
• Adam Miller
• Akilah Miller, CADC II
• Alexander D Miller, M.D.

• Clinical Medical Laboratory in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.