Active NPI
Dat Tan Lam
- Perfusionist
- Fort Myers, FL
National Provider Identifier
1851203723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perfusionist
- License
- LP152
- Practice address
- 2250 McGregor Park Circle
Fort Myers, FL 33908 - Phone
- (888) 499-5672
- NPI assigned
- Sep 17, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Perfusionist | 242T00000X | LP152 | NV | Primary |
Addresses
Primary practice location
2250 McGregor Park Circle
Fort Myers, FL 33908
Mailing address
935 Carthage Way
Arlington, TX 76017-6552
Phone (682) 552-6405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1851203723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 CARTHAGE WAY",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760176552",
"telephone_number": "682-552-6405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 MCGREGOR PARK CIRCLE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "33908",
"telephone_number": "888-499-5672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "DAT",
"middle_name": "TAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-17",
"last_updated": "2026-09-17",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "242T00000X",
"taxonomy_group": "",
"desc": "Perfusionist",
"state": "NV",
"license": "LP152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.