Individual provider Active NPI

Dan W Gann, MT(AAB),MLT(ASCP)

  • Medical Laboratory Technician
  • Media, PA
National Provider Identifier
1497870075
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Laboratory TechnicianTaxonomy code 246RM2200X
License
MLT19209 Issued in IL
Practice address
9 W Front St
Rttemps
Media, PA 19063-2816
Phone
(800) 677-8233
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Technologist 246QM0706X 2040004 MO
Medical Laboratory Technician 246RM2200X MLT19209 IL Primary

Addresses

Primary practice location

9 W Front St
Rttemps
Media, PA 19063-2816

Mailing address

1514 Vinyard Rd
Marshfield, MO 65706-9328
Phone (417) 830-8189

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

LicenseStateTypeSpecialty
2040004MOMDMedical Technologist
MLT19209ILMDMedical Laboratory Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1497870075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 VINYARD RD",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657069328",
            "telephone_number": "417-830-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 W FRONT ST",
            "address_2": "RTTEMPS",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632816",
            "telephone_number": "800-677-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANN",
        "first_name": "DAN",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "MT(AAB),MLT(ASCP)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "MO",
            "license": "2040004",
            "primary": false
        },
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "IL",
            "license": "MLT19209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.