Organization Active NPI

Wave Ultrasound LLC

  • Physiological Laboratory
  • Las Vegas, NV
National Provider Identifier
1902370588
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
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

Updated by the provider on Jun 17, 2026

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.