| Millenium Diagnostic Center | |
|
32255 Northwestern Hwy Ste 100 Farmington Hills MI 48334-1573 | |
| (248) 945-0000 | |
| (248) 945-1819 |
| Full Name | Millenium Diagnostic Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 32255 Northwestern Hwy Ste 100, Farmington Hills, Michigan |
| Authorized Official Name and Position | Geoffrey A. Trivax (PRESIDENT) |
| Authorized Official Contact | 2488511430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Millenium Diagnostic Center 29992 Northwestern Hwy Suite C Farmington Hills MI 48334-3292 Ph: (248) 851-1430 | Millenium Diagnostic Center 32255 Northwestern Hwy Ste 100 Farmington Hills MI 48334-1573 Ph: (248) 945-0000 |
| NPI Number | 1912933540 |
|---|---|
| Provider Enumeration Date | 06/24/2006 |
| Last Update Date | 12/23/2021 |
| Medicare PECOS PAC ID | 6103738638 |
|---|---|
| Medicare Enrollment ID | O20031104000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912933540 | NPI | - | NPPES |
| CJ8411 | Other | MI | MEDICARE ID TYPE UNSPECIFIED |
| 700F314390 | Other | MI | BLUE SHIELD GROUP |
| CH5573 | Other | MI | MEDICARE ID TYPE UNSPECIFIED |
| DA4193 | Other | MI | MEDICARE ID TYPE UNSPECIFIED |
| DD1976 | Other | MI | MEDICARE IS TYPE UNSPECIFIED |
| CF9345 | Other | MI | MEDICARE IS TYPE UNSPECIFIED |
| 0M96210 | Other | MI | MEDICARE PTAN |
| 1912933540 | Medicaid | MI | |
| CG6178 | Other | MI | MEDICARE ID TYPE UNSPECIFIED |
| Provider Name | Christopher S Sweet |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871533067 PECOS PAC ID: 8527964543 Enrollment ID: I20031210000778 |
| Provider Name | James A Lyddon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992770986 PECOS PAC ID: 2567355811 Enrollment ID: I20040203000011 |
| Provider Name | Meketa Schlega |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104853126 PECOS PAC ID: 1951294321 Enrollment ID: I20040209000065 |
| Provider Name | Alan D Hartz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235170721 PECOS PAC ID: 7012818396 Enrollment ID: I20040306000080 |
| Provider Name | Won B Chae |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831192640 PECOS PAC ID: 8921095530 Enrollment ID: I20040427000519 |
| Provider Name | Gregg Warren |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184651366 PECOS PAC ID: 8921096124 Enrollment ID: I20040505001038 |
| Provider Name | Michael F Haenick |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235127770 PECOS PAC ID: 9537111604 Enrollment ID: I20050216000936 |
| Provider Name | Michael Ross Laffer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639153497 PECOS PAC ID: 3173436201 Enrollment ID: I20050316000924 |
| Provider Name | Anindya K Roy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083674071 PECOS PAC ID: 9234172586 Enrollment ID: I20050607001020 |
| Provider Name | Garrett L Walworth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598794927 PECOS PAC ID: 3173569092 Enrollment ID: I20050630000888 |
| Provider Name | Paul Gregg Olejniczak |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932155991 PECOS PAC ID: 7113946591 Enrollment ID: I20051115000607 |
| Provider Name | Justin E Trivax |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174566095 PECOS PAC ID: 9537162565 Enrollment ID: I20060814000079 |
| Provider Name | Daya Vora |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023218153 PECOS PAC ID: 0042301947 Enrollment ID: I20070807000560 |
| Provider Name | Harvey P Sabbota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306836390 PECOS PAC ID: 5698846434 Enrollment ID: I20080620000625 |
| Provider Name | Monik Lala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194847038 PECOS PAC ID: 9830264290 Enrollment ID: I20080819000766 |
| Provider Name | Stephen J Gunther |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205942182 PECOS PAC ID: 2365586765 Enrollment ID: I20100224000027 |
| Provider Name | Michael K Margolis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235120551 PECOS PAC ID: 9335284363 Enrollment ID: I20100302000824 |
| Provider Name | Michael A Savin |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1821059049 PECOS PAC ID: 0143365874 Enrollment ID: I20100305000737 |
| Provider Name | Syed Jafri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467412221 PECOS PAC ID: 8527194711 Enrollment ID: I20100326000527 |
| Provider Name | Eugene W Tryciecky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467522961 PECOS PAC ID: 9032249404 Enrollment ID: I20100610000909 |
| Provider Name | Samuel J Jassenoff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629148275 PECOS PAC ID: 7719976455 Enrollment ID: I20100730000662 |
| Provider Name | Ibrahim N Syed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417942814 PECOS PAC ID: 0749352946 Enrollment ID: I20100928000106 |
| Provider Name | Matthew J Kovie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497961353 PECOS PAC ID: 1557555471 Enrollment ID: I20101104000234 |
| Provider Name | Stephen A Vartanian |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1790990919 PECOS PAC ID: 8022296219 Enrollment ID: I20110616000424 |
| Provider Name | Herman S Kado |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033367362 PECOS PAC ID: 8325281215 Enrollment ID: I20130824000081 |
| Provider Name | Dustin B Feldman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689894867 PECOS PAC ID: 7113161787 Enrollment ID: I20130920000517 |
| Provider Name | Joseph A Kozlowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588742746 PECOS PAC ID: 8527059542 Enrollment ID: I20140320002022 |
| Provider Name | Eric D Greenberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689812489 PECOS PAC ID: 4082838719 Enrollment ID: I20140618002149 |
| Provider Name | Roshni S Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962705004 PECOS PAC ID: 6204147663 Enrollment ID: I20150625002230 |
| Provider Name | Jonathan W Olsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700198561 PECOS PAC ID: 4789815390 Enrollment ID: I20160613001662 |
| Provider Name | Stacy J Ries |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912293036 PECOS PAC ID: 4789977695 Enrollment ID: I20160728002269 |
| Provider Name | George R Dirani |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1619310885 PECOS PAC ID: 2062644875 Enrollment ID: I20180302002036 |
| Provider Name | Ajay I Dalal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093710782 PECOS PAC ID: 5597717041 Enrollment ID: I20181114000849 |
| Provider Name | Adam Michael Tawney |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962865147 PECOS PAC ID: 6901190503 Enrollment ID: I20210121001682 |
Community Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37935 W 12 Mile Rd Ste A, Farmington Hills, MI 48331 Phone: 248-579-9009 Fax: 248-579-9009 | |
Powers Family Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23700 Orchard Lake Rd, Farmington Hills, MI 48336 Phone: 717-682-0670 | |
Advance Care Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 26120 Springland St, Farmington Hills, MI 48334 Phone: 248-722-6446 | |
Tlc Laser Eye Centers Detroit Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 34405 W 12 Mile Rd, Ste. 154, Farmington Hills, MI 48331 Phone: 248-489-0400 | |
Clinton River Affiliates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31547 W 13 Mile Rd, Farmington Hills, MI 48334 Phone: 985-789-2534 | |
Primecare Family Medicine Concierge Center Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33466 W 8 Mile Rd, Farmington Hills, MI 48335 Phone: 248-246-0505 Fax: 248-284-4487 | |
Alcona Health Center Advanced Psychiatric Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 32905 W 12 Mile Rd Ste 410, Farmington Hills, MI 48334 Phone: 989-736-8157 |