# MILLENNIUM DIAGNOSTIC IMAGING SERVICE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MDIS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992017057
- **Authorized official:** MR. SUKHPAL SINGH KHUNKHUN (CEO)
- **Authorized official phone:** (877) 277-7848

## Contact information

- **Practice address:** 1305 S. COURSON DRIVE, ANAHEIM, CA 92804-4721
- **Practice address phone:** (877) 277-7848
- **Practice address fax:** (855) 464-4936
- **Mailing address:** 1305 S COURSON DR, ANAHEIM, CA 92804-4721
- **Mailing address phone:** (877) 277-7848
- **Mailing address fax:** (855) 464-4936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | NULL | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 07/06/2010
- **Last updated:** 03/11/2026