Amanda Wilson, NPI 1043979214
Clinical Laboratory Director (Non-physician) in Phoenix, AZ, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1043979214
NPI Entity Type Individual
Provider Name Amanda Wilson
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 411 E Indian School Rd Apt 2119, Phoenix, AZ, US
Provider Mailing Address 1701 E Meadowbrook Ave Apt 346, Phoenix, AZ, US, 850165113
Gender Female
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

247ZC0005X

Taxonomy Name Clinical Laboratory Director (Non-physician)
Classification

Technician, Pathology

Group

Technologists, Technicians & Other Technical Service Providers

Description An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

Business Address

Amanda Wilson
411 E Indian School Rd Apt 2119

Phoenix, AZ, US

Phone: 480-241-2197

Mailing Address

Amanda Wilson
1701 E Meadowbrook Ave Apt 346
Phoenix, AZ, US
ZIP 850165113
Phone: 480-241-2197

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