Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LETEK PLLC
NPI 1043766801
Clinic/Center - Primary Care in Mount Vernon, KY

Active since August 31, 2016CLIA 18D2126208 · Waiver
75 EAST MAIN STREET, MOUNT VERNON, KY 40456(859) 358-1023(606) 392-2139 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2026, Mar 6, 2021, Mar 17, 2018 and 4 more (7 updates tracked since 2016).

About Letek Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LETEK PLLC (NPI 1043766801) is a healthcare organization registered as a primary care in Mount Vernon, Kentucky and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through February 21, 2027, maintains a secondary practice location in Livingston, and lists Thomas William Fowles, Owner, as its authorized official.

NPPES Registry Identity

NPI1043766801
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLETEK PLLC
Location Address75 EAST MAIN STREETMount Vernon, KY 40456
Mailing Address409 Forest Trail DrBerea, KY 40403-9690 · (731) 571-9223 · Fax (931) 901-1239
Fax(606) 392-2139
Organization SubpartNo
Authorized OfficialThomas William FowlesOwner · (859) 358-3069
Enumeration DateAugust 31, 2016
Last NPPES UpdateJuly 23, 20267 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
NPI 1043766801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in KY · 38140
Also ListedFamily MedicineTaxonomy 207Q00000X · License 38140 (KY)
75 EAST MAIN STREET, Mount Vernon, KY 40456

Secondary Practice Location 1

Location 19226 Main StreetLivingston, KY 40445 · Phone (859) 358-3069 · Fax (859) 986-7890

Other Identifiers 2

Medicaid64102726KY
Other7846668KY · Aetna Pin

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2126208

Letek PLLC, Dba Livingston Community Care · Livingston, KY
Active · expires Feb 21, 2027
CLIA Number18D2126208
Laboratory TypeCommunity Clinic
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorThomas Fowles
Laboratory Phone(859) 358-3069
Laboratory LocationLetek PLLC, Dba Livingston Community Care9226 Main Street, Livingston, KY 40445
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Letek PLLC's NPI number?

The NPI number for Letek PLLC is 1043766801. It was assigned to this organization in the NPPES registry on August 31, 2016.

Where is Letek PLLC located?

Letek PLLC is located at 75 East Main Street, Mount Vernon, KY 40456. The listed phone number is (859) 358-1023.

What is Letek PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Letek PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2126208) is associated with this NPI, valid through February 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Letek PLLC was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.