Active NPI
Wave Ultrasound LLC
- Physiological Laboratory
- Las Vegas, NV
National Provider Identifier
1902370588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- WAVE ULTRASOUND LLC
- Practice address
- 8987 W Flamingo Rd Ste 105
Las Vegas, NV 89147-0437 - Phone
- (702) 861-8885
- NPI assigned
- Jan 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jihun Kim
- Title
- Ustech
- Phone
- (702) 861-8885
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | |||
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
8987 W Flamingo Rd Ste 105
Las Vegas, NV 89147-0437
Mailing address
11132 Zarod Rd
Las Vegas, NV 89135-7850
Phone (702) 861-8885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191028000241 | NV | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 9931431871 | Practice locations: Las Vegas, NV |
| O20250528003506 | NV | Part B Supplier - Portable X-Ray Supplier | 9931431871 | Practice locations: Las Vegas, NV |
National Provider Directory
National Provider DirectoryLocations
8987 W Flamingo Rd
Ste 103
Las Vegas, NV 89147
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Beverly Hills, CA
- NPI 1861686354
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1326013319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781654400000",
"number": "1902370588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11132 ZAROD RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891357850",
"telephone_number": "702-861-8885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8987 W FLAMINGO RD STE 105",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891470437",
"telephone_number": "702-861-8885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAVE ULTRASOUND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-16",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "JIHUN",
"authorized_official_title_or_position": "USTECH",
"authorized_official_telephone_number": "702-861-8885"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"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 Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.