Individual provider Active NPI

Wayne Emerald Lang, M.T.(ASCP)

  • Medical Technologist
  • Winston, OR
National Provider Identifier
1619113222
Registry record updated Jan 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical TechnologistTaxonomy code 246QM0706X
License
MT 119423 Issued in OR
Practice address
7550 Willis Creek Rd
Winston, OR 97496-5555
Phone
(541) 863-8900
NPI assigned
Jan 2, 2009
Last updated
Jan 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Technologist 246QM0706X MT 119423 OR Primary

Addresses

Primary practice location

7550 Willis Creek Rd
Winston, OR 97496-5555

Mailing address

7550 Willis Creek Rd
Winston, OR 97496-5555
Phone (541) 863-8900

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
MT 119423ORMDMedical Technologist

NPI Registry JSON

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230854400000",
    "number": "1619113222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 WILLIS CREEK RD",
            "city": "WINSTON",
            "state": "OR",
            "postal_code": "974965555",
            "telephone_number": "541-863-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 WILLIS CREEK RD",
            "city": "WINSTON",
            "state": "OR",
            "postal_code": "974965555",
            "telephone_number": "541-863-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "WAYNE",
        "middle_name": "EMERALD",
        "name_prefix": "Mr.",
        "credential": "M.T.(ASCP)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "OR",
            "license": "MT 119423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; 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.