New Millenium Mobile Diagnostic Services

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

NEW MILLENIUM MOBILE DIAGNOSTIC SERVICES

Practice address

2500 Wilshire Blvd
Suite # 1122
Los Angeles, CA 90057-4303

Phone

(213) 387-5005

Fax

(213) 387-5006

NPI assigned

Jun 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Aleksandr Bromberg

Title

President

Phone

(213) 387-5005

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568407203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 WILSHIRE BLVD",
            "address_2": "SUITE # 1122",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574303",
            "telephone_number": "213-387-5005",
            "fax_number": "213-387-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 WILSHIRE BLVD",
            "address_2": "SUITE # 1122",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574303",
            "telephone_number": "213-387-5005",
            "fax_number": "213-387-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MILLENIUM MOBILE DIAGNOSTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROMBERG",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-387-5005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• New Light Hospice and Palliative Care
• New Light Palliative Care
• New Me Surgical Institute
• New Millennium
• New Millennium Helping Hands
• New Route Recovery LLC
• New South Development Corporation (Global Cannabis Collective)
• New U Therapy Center & Family Services Inc.

• Physiological Laboratory in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physiological Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.