MILLENNIUM PHYSICIAN GROUP
NPI 1104132166
Family Medicine in Casa Grande, AZ

Active since August 27, 2010CLIA Certified · 4 labs
1811 E MCMURRAY BLVD, CASA GRANDE, AZ 85122(520) 374-2090 Get Directions Write a Review

NPPES record last updated: August 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Millennium Physician Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILLENNIUM PHYSICIAN GROUP (NPI 1104132166) is a healthcare organization registered as a family medicine in Casa Grande, Arizona and active in the NPI registry since August 2010. The organization holds 4 active CLIA laboratory certificates and lists Daniel E. Dosoretz, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1104132166
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameARIZONA RADIATION THERAPY MANAGEMENT SERVICES INC
Location Address1811 E MCMURRAY BLVDCasa Grande, AZ 85122-5404
Mailing Address2234 Colonial BlvdFort Myers, FL 33907-1412 · (239) 931-7342 · Fax (293) 931-7385
Organization SubpartNo
Authorized OfficialDaniel E. DosoretzCeo/president · (239) 931-7277
Enumeration DateAugust 27, 2010
NPI 1104132166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
1811 E MCMURRAY BLVD, Casa Grande, AZ 85122

Other Names 1

Doing Business AsMillennium Physician Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0982633

Millennium Physician Group · Fort Myers, FL
Active · expires Apr 22, 2028
CLIA Number10D0982633
Laboratory TypePhysician Office
Certificate Effective DateApril 23, 2026
Certificate Expiration DateApril 22, 2028
Laboratory DirectorBrian G. Martin
Laboratory Phone(941) 764-1880
Laboratory LocationMillennium Physician Group5172 Mason Corbin Ct Ste 1, Fort Myers, FL 33907
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2289361

Millennium Physician Group, LLC · Fort Myers, FL
Active · expires Sep 10, 2027
CLIA Number10D2289361
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2025
Certificate Expiration DateSeptember 10, 2027
Laboratory DirectorMichael Collier
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC7820 Fanning Court, Fort Myers, FL 33907
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2050201

Millennium Physician Group LLC · Fort Myers, FL
Active · expires Nov 20, 2026
CLIA Number10D2050201
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2024
Certificate Expiration DateNovember 20, 2026
Laboratory DirectorJonathan Brisson
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group LLC12645 New Brittany Blvd - Bldg 15, Fort Myers, FL 33907
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0293486

Millennium Physician Group, LLC · Fort Myers, FL
Active · expires Aug 31, 2026
CLIA Number10D0293486
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Tejvir S. Chadha
Laboratory Phone(941) 787-7665
Laboratory LocationMillennium Physician Group, LLC5030 Mason Corbin Ct Ste A, Fort Myers, FL 33907
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1811 E MCMURRAY BLVD
CASA GRANDE, AZ 85122
Internal Medicine
1811 E MCMURRAY BLVD
CASA GRANDE, AZ 85122
Family Medicine
1811 E MCMURRAY BLVD
CASA GRANDE, AZ 85122
Orthopaedic Surgery
1811 E MCMURRAY BLVD
CASA GRANDE, AZ 85122
Nurse Practitioner (Family)
1811 E MCMURRAY BLVD
CASA GRANDE, AZ 85122
Nurse Practitioner (Family)
1811 E MCMURRAY BLVD
CASA GRANDE, AZ 85122
Clinic/Center (Primary Care)
1811 E MCMURRAY BLVD
CASA GRANDE, AZ 85122
Nurse Practitioner
1811 E MCMURRAY BLVD
CASA GRANDE, AZ 85122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arizona Radiation Therapy Management Services Inc's NPI number?

The NPI number for Arizona Radiation Therapy Management Services Inc is 1104132166. It was assigned to this organization in the NPPES registry on August 27, 2010. The provider is doing business as Millennium Physician Group.

Where is Arizona Radiation Therapy Management Services Inc located?

Arizona Radiation Therapy Management Services Inc is located at 1811 E Mcmurray Blvd, Casa Grande, AZ 85122. The listed phone number is (520) 374-2090.

What is Arizona Radiation Therapy Management Services Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Arizona Radiation Therapy Management Services Inc hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Arizona Radiation Therapy Management Services Inc was last updated on August 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.