Matthew Ryan Blantz, MLS (ASCP)CM

Primary specialty

Medical TechnologistTaxonomy code 246QM0706X

License

219359

Practice address

252 S 4TH St
Lebanon, PA 17042-6111

Phone

(717) 269-6315

NPI assigned

Oct 30, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1912770207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 S 5TH AVE",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170429701",
            "telephone_number": "717-269-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 S 4TH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170426111",
            "telephone_number": "717-269-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANTZ",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "credential": "MLS (ASCP)CM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": null,
            "license": "219359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Eugene Bidelspach, MPT
• Lusty Jean Biney, PA-C
• Deborah Bishop, RN BSN
• Jonathan Edward Bjorkstedt, A.A.
• Ashley Blake
• Juan C. Blas-Boria, M.D.
• Wendy Blauch
• Tonya Rae Blazina, BA
• Michael Blessing
• Megan Bloomquist, D.D.S.

• Medical Technologist in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Medical Technologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.