IndividualActive
Amanda Wilson
NPI 1043979214 · Clinical Laboratory Director (Non-physician) · Phoenix, AZ
Provider details
- NPI number
- 1043979214
- Entity type
- Individual
- Primary specialty
- Clinical Laboratory Director (Non-physician)Technologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
411 E Indian School Rd Apt 2119
Phoenix, AZ 85012-1886
Phone: (480) 241-2197
Approximate (ZIP-level) locationGet directions
Mailing address
1701 E Meadowbrook Ave Apt 346
Phoenix, AZ 85016-5113
Registry dates
- Enumerated
- 2021-12-15
- Last updated
- 2021-12-15
- Certified
- 2021-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.