MR. CONSTANCIO L CLETO MT
NPI 1215957139
Technician, Pathology - Medical Laboratory in Lapwai, ID
Active since July 21, 2006
About Mr. Constancio L Cleto Mt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CONSTANCIO L CLETO MT (NPI 1215957139) is an individual medical laboratory provider in Lapwai, Idaho, licensed in Idaho (MT172684-02645309) and active in the NPI registry since July 2006.
NPPES Registry Identity
NPI1215957139
Entity TypeIndividualMale
Primary Taxonomy246RM2200X
Provider Legal NameMR. CONSTANCIO L CLETOCredential: MT
Location Address111 BEVER GRADELapwai, ID 83540
Mailing AddressPo Box 367Lapwai, ID 83540-0367 · (208) 843-2271 · Fax (208) 843-2658
Phone(208) 843-2271
Fax(208) 843-2658
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215957139 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyTechnician, Pathology · Medical LaboratoryTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RM2200X
License✔ Licensed in ID · MT172684-02645309
111 BEVER GRADE, Lapwai, ID 83540
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Technician, Pathology (Medical Laboratory)
111 BEVER GRADE
LAPWAI, ID 83540
LAPWAI, ID 83540
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215957139, enumerated as an "individual" on July 21, 2006.
The provider is located at 111 BEVER GRADE LAPWAI, ID 83540 and the phone number is (208) 843-2271.
Technician, Pathology with taxonomy code 246RM2200X and a focus in Medical Laboratory.