Juanito Y Lim, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

31206 Issued in AZ

Practice address

2500 Canyon Rd BLDG D
Suite 1
Bullhead City, AZ 86442-8624

Phone

(928) 763-8600

Fax

(928) 704-2201

NPI assigned

Jan 12, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Laboratory Medicine Consultants LTD

  • Clinical Medical Laboratory
  • Las Vegas, NV
  • NPI 1962463786

  AZ

  Medicare reassignment NPD
• Laboratory Medicine Consultants LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Las Vegas, NV
  • NPI 1083675169
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1336128958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CANYON RD BLDG D",
            "address_2": "SUITE 1",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428624",
            "telephone_number": "928-763-8600",
            "fax_number": "928-704-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CANYON RD BLDG D",
            "address_2": "SUITE 1",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428624",
            "telephone_number": "928-763-8600",
            "fax_number": "928-704-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "JUANITO",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "31206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "831843",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Ottleigh Leo, PT
• Peter Leopold, D.O.
• May Li
• Geraldine Liban, RN
• Dragana Lim, RPH
• Link Medical Inc
• Lori Ann Linville-Petrik, PT
• Lion Clinical Services LLC
• Angela Marie Lipinski, FNP-C
• Brielle Lynn Lira, DMD

• Anatomic Pathology & Clinical Pathology Physician in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Anatomic Pathology & Clinical Pathology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.