Healthcare Provider Details

I. General information

NPI: 1659414712
Provider Name (Legal Business Name): CHRISTOPHER DEAN MELE M.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 JACOBSON PL UNIT 1 56 JACOBSON PL. #1
LEADVILLE CO
80461-3376
US

IV. Provider business mailing address

PO BOX 1181 56 JACOBSON PL. #1
LEADVILLE CO
80461-1181
US

V. Phone/Fax

Practice location:
  • Phone: 719-486-1894
  • Fax:
Mailing address:
  • Phone: 719-486-1894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246QM0706X
TaxonomyMedical Technologist
License Number160722
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246RM2200X
TaxonomyMedical Laboratory Technician
License Number059595
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: