1 meter = 100 cm = 1000mm.
So 1 millionth of a meter = 1/1000th of 1mm.
thus, 100 millionths of a meter = 0.1mm, or ~4 thou in American units. Easily achievable by hobbyists, let alone by serious, professional equipment.
Sure, that is a pretty exacting specification for what I suppose is a big machine, but I'm pretty sure very normal things like say, car engines get made to far tighter tolerances.