Active NPI
Mike Lim
- Diagnostic Radiology Physician
- Las Vegas, NV
National Provider Identifier
1467102046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- SL2041
- Practice address
- 2880 N Tenaya Way FL 2
Las Vegas, NV 89128-0618 - Phone
- (510) 437-4965
- NPI assigned
- Mar 25, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | SL2041 | NV | Primary |
Addresses
Primary practice location
2880 N Tenaya Way FL 2
Las Vegas, NV 89128-0618
Mailing address
2880 N Tenaya Way FL 2
Las Vegas, NV 89128-0618
Phone (702) 962-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL2041 | NV | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1467102046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2880 N TENAYA WAY FL 2",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280618",
"telephone_number": "702-962-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 N TENAYA WAY FL 2",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280618",
"telephone_number": "510-437-4965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "MIKE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-25",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NV",
"license": "SL2041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.