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NPI Code Detail

MEDICARE: MILLENNIUM HEALTH, LLC

MEDICARE: MILLENNIUM HEALTH, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1548502255
Entity Type Code : Organization
Provider Name (Legal Business Name) : MILLENNIUM HEALTH, LLC
Provider Business Mailing Address
First Line : 401 W MORGAN RD
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-9109
Country : US
Telephone Number : 877-451-3534
Fax Number : 858-217-0332
Provider Business Practice Location Address
First Line : 401 W MORGAN RD
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-9109
Country : US
Telephone Number : 877-451-3534
Fax Number : 858-217-0332
Authorized Official
Title or Position : VP STRATEGIC PAYER RELATIONS
Name : CAROL STOYLA
Credential :
Telephone Number : 877-451-3534
Provider Enumeration Date : 03/20/2013
Last Update Date : 11/09/2015

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Directions to “MILLENNIUM HEALTH, LLC ” Practice Location

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