MARK B LIM MD
NPI 1104844216
Student in an Organized Health Care Education/Training Program in Lake Havasu City, AZ
About Mark B Lim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK B LIM MD (NPI 1104844216) is an individual student in an organized health care education/training program in Lake Havasu City, Arizona, licensed in Arizona (R81303) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mark B Lim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKE HAVASU CITY, AZ 86403
LAKE HAVASU CITY, AZ 86403
LAKE HAVASU CITY, AZ 86403
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mark Lim's NPI number?
The NPI number for Mark Lim is 1104844216. It was assigned to this individual provider in the NPPES registry on July 17, 2006.
Where is Mark Lim located?
Mark Lim practices at 1840 Mesquite Ave Ste B, Lake Havasu City, AZ 86403. The listed phone number is (928) 453-8500.
What is Mark Lim's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Mark Lim enrolled in Medicare?
Yes. Mark Lim is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mark Lim was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mark B Lim, MD · NPI 1104844216
Student in an Organized Health Care Education/Training Program provider in Lake Havasu City, Arizona. Individual provider, active in the CMS NPPES registry since July 17, 2006.
## Identity
- **NPI:** 1104844216 (Entity type: Individual)
- **Enumerated:** July 17, 2006
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** R81303 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1840 MESQUITE AVE STE B, Lake Havasu City, AZ 86403-5771
- **Phone:** (928) 453-8500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104844216) · Data from the CMS NPPES public registry.