MILLENIUM DIAGNOSTIC CENTER – NPI #1912933540
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

MILLENIUM DIAGNOSTIC CENTER is a provider located in FARMINGTON HILLS, MI. NPPES has assigned the NPI number 1912933540 to MILLENIUM DIAGNOSTIC CENTER on June 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MILLENIUM DIAGNOSTIC CENTER” is a dba name, the actual legal business name for this organization is MMG 1 PC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 4 years ago on Dec 23, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MILLENIUM DIAGNOSTIC CENTER below.

NPI Profile for
MMG 1 PC

NPI Number
1912933540
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MMG 1 PC
Doing Business As (dba): MILLENIUM DIAGNOSTIC CENTER
Primary location
32255 NORTHWESTERN HWY STE 100
FARMINGTON HILLS, MI 48334-1573
Phone: (248) 945-0000 Fax: (248) 945-1819
Mailing address
29992 NORTHWESTERN HWY
SUITE C
FARMINGTON HILLS, MI 48334-3292
Phone: (248) 851-1430 Fax: (248) 851-5182
Organization Subpart
No
Authorized Official
GEOFFREY TRIVAX
PRESIDENT
Phone: (248) 851-1430
Updated
Certification Date
Dec 23, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MILLENIUM DIAGNOSTIC CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE SHIELD GROUPMI700F314390
OTHERMEDICARE ID TYPE UNSPECIFIEDMIDA4193
OTHERMEDICARE ID TYPE UNSPECIFIEDMICG6178
OTHERMEDICARE ID TYPE UNSPECIFIEDMICH5573
OTHERMEDICARE ID TYPE UNSPECIFIEDMICJ8411
OTHERMEDICARE IS TYPE UNSPECIFIEDMIDD1976
OTHERMEDICARE IS TYPE UNSPECIFIEDMICF9345
OTHERMEDICARE PTANMI0M96210
MEDICAIDMI1912933540
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.