person
Amanda Wilson
Clinical Laboratory Director (Non-physician) in Phoenix, Arizona
NPI 1043979214

Amanda Wilson is a Clinical Laboratory Director (Non-physician) based in Phoenix, AZ and is specialized in Clinical Laboratory Director, Non-physician. Amanda Wilson practices in Phoenix, AZ. The NPI Number for Amanda Wilson is 1043979214 and holds a License No. (Arizona).

The current practice location address for Amanda Wilson is 411 E Indian School Rd Apt 2119, Phoenix, AZ and can be reached out via phone at 480-241-2197. You can also correspond with Amanda Wilson through the mailing address at 1701 E MEADOWBROOK AVE APT 346, PHOENIX, AZ - 85016-5113 (mailing address contact number: 480-241-2197).

Location: 411 E Indian School Rd Apt 2119, Phoenix, AZ, 85016-5113
person
Provider Profile Details
NPI Number
1043979214
Provider Name
Amanda Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
411 E Indian School Rd Apt 2119, Phoenix, AZ, 85016-5113
Phone Number
480-241-2197
Fax Number
Provider Enumeration Date
12/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
411 E Indian School Rd Apt 2119
City
State
Zip
85012-1886
Phone Number
480-241-2197
Fax Number
person
Provider Business Mailing Address Details
Address
1701 E Meadowbrook Ave Apt 346
City
State
Zip
85016-5113
Phone Number
480-241-2197
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
License No.
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Definition
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.
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