IndividualActive
Amanda Tracey, M.T.
NPI 1902121585 · Laboratory Management Specialist/Technologist · Polacca, AZ
Provider details
- NPI number
- 1902121585
- Entity type
- Individual
- Primary specialty
- Laboratory Management Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- M.T.
- Sex
- Female
- Sole proprietor
- No
Practice location
Highway 264, Milepost 388
Laboratory
Polacca, AZ 86042
Phone: (928) 737-6220
Fax: (928) 737-6047
Mailing address
Po Box 4000
Polacca, AZ 86034
Registry dates
- Enumerated
- 2010-04-07
- Last updated
- 2010-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.