Organization Active NPI

Millennium Diagnostic Imaging Center, Inc

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Miami, FL
National Provider Identifier
1952314940
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
HCC4575 Issued in FL
Legal business name
MILLENNIUM DIAGNOSTIC IMAGING CENTER, INC
Practice address
8900 SW 24TH St
Suite 100
Miami, FL 33165-2075
Phone
(305) 229-9511
Fax
(305) 229-9112
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Mr. Ivette DiazNPI 1497637029
Title
President
Phone
(305) 229-9115

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
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X HCC4575 FL Primary

Addresses

Primary practice location

8900 SW 24TH St
Suite 100
Miami, FL 33165-2075

Mailing address

8900 SW 24TH St
Suite 100
Miami, FL 33165-2075
Phone (305) 229-9511

Other identifiers 6

IdentifierTypeStateIssuer
272346OtherFLAMERIGROUP
261893100OtherFLFLORIDA NET PASS
246371OtherFLWELLCARE
V2847OtherFLBLUE CROSS BLUE SHIELD
126302500MedicaidFL
292178OtherFLAVMED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121220000283 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8224165774 Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

8900 SW 24th St
Ste 100
Miami, FL 33165
Phone (305) 229-9511

Practitioners & affiliated clinicians

Practitioners 3

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": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1952314940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 SW 24TH ST",
            "address_2": "SUITE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652075",
            "telephone_number": "305-229-9511",
            "fax_number": "305-229-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 SW 24TH ST",
            "address_2": "SUITE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652075",
            "telephone_number": "305-229-9511",
            "fax_number": "305-229-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM DIAGNOSTIC IMAGING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "IVETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-229-9115",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "FL",
            "license": "HCC4575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "272346",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA NET PASS",
            "identifier": "261893100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "246371",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "V2847",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126302500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "292178",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.