Active NPI
Leroy Lang Jr MD PC
- Internal Medicine Physician
- Detroit, MI
National Provider Identifier
1215102777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- LL045267
- Legal business name
- LEROY LANG JR MD PC
- Practice address
- 6001 W Outer Dr
Suite 430
Detroit, MI 48235-2614 - Phone
- (313) 861-4200
- Fax
- (313) 861-8981
- NPI assigned
- Apr 25, 2008
- 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
- Leroy Lang Jr., MD
- Title
- Owner
- Phone
- (313) 861-4200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LL045267 | MI | Primary |
Addresses
Primary practice location
6001 W Outer Dr
Suite 430
Detroit, MI 48235-2614
Mailing address
6001 W Outer Dr
Suite 430
Detroit, MI 48235-2614
Phone (313) 861-4200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184750101 | Other | MI | MEDICAI |
| 1108216092 | Other | MI | BCBS PIN |
National Provider Directory
National Provider DirectoryLocations
6001 W Outer Dr
Ste 430
Detroit, MI 48235
Phone (313) 861-4200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209081600000",
"number": "1215102777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 W OUTER DR",
"address_2": "SUITE 430",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352614",
"telephone_number": "313-861-4200",
"fax_number": "313-861-8981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 W OUTER DR",
"address_2": "SUITE 430",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352614",
"telephone_number": "313-861-4200",
"fax_number": "313-861-8981"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEROY LANG JR MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-25",
"last_updated": "2008-04-25",
"status": "A",
"authorized_official_last_name": "LANG",
"authorized_official_first_name": "LEROY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-861-4200",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "LL045267",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAI",
"identifier": "1184750101",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN",
"identifier": "1108216092",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.