THERESA L. CLANTON – NPI #1376550137
Technician, Pathology

THERESA CLANTON is a pathology technician located in VAN BUREN, MO. NPPES has assigned the NPI number 1376550137 to THERESA CLANTON on August 02, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name THERESA LEE CLANTON. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 246RP1900X from the Health Care Provider Taxonomy code set, which is classified as Technician, Pathology, specializing in Phlebotomy

The NPI profile was previously updated about 7 years ago on Jan 28, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THERESA CLANTON below.

NPI Profile for
THERESA L. CLANTON

NPI Number
1376550137
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
THERESA L. CLANTON
Former Name: THERESA LEE CLANTON
Primary location
402 MAIN ST.
VAN BUREN, MO 63965
Phone: (573) 323-4853 Fax: (573) 323-4465
Mailing address
696 CARTER ROUTE M
VAN BUREN, MO 63965-7014
Phone: (573) 323-2171 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246RP1900X
- Technician, Pathology / Phlebotomy (Primary)
MO 475-1
376K00000X
- Nurse's Aide

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.