NPIMap

Organization Active NPI

Millenium Diagnostic Imaging Services

  • Mobile Radiology Clinic/Center
  • Anaheim, CA
National Provider Identifier
1831402973
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
92703 RDCS Issued in CA
Legal business name
MILLENIUM DIAGNOSTIC IMAGING SERVICES
Practice address
1305 S Courson Dr
Anaheim, CA 92804-4721
Phone
(714) 995-2168
NPI assigned
Jul 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Authorized official

Name
Mr. Sukhpal S Khunkhun, RDCSNPI 1093894909
Title
Owner/President
Phone
(714) 995-2168

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
Mobile Radiology Clinic/Center 261QR0208X 92703 RDCS CA Primary

Addresses

Primary practice location

1305 S Courson Dr
Anaheim, CA 92804-4721

Mailing address

1305 S Courson Dr
Anaheim, CA 92804-4721
Phone (714) 995-2168

National Provider Directory

National Provider Directory
Tax ID family
Mdis2 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.

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": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1831402973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 S COURSON DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928044721",
            "telephone_number": "714-995-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 S COURSON DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928044721",
            "telephone_number": "714-995-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENIUM DIAGNOSTIC IMAGING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "KHUNKHUN",
        "authorized_official_first_name": "SUKHPAL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "714-995-2168",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDCS"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "CA",
            "license": "92703 RDCS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.