Amanda Wilson - Phoenix, AZ

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.

Location: 411 E Indian School Rd Apt 2119, Phoenix, AZ, 85016-5113

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

Address

411 E Indian School Rd Apt 2119

City

Phoenix

State

Arizona

Zip

85012-1886

Phone Number

480-241-2197

Fax Number

Address

411 E Indian School Rd Apt 2119

City

Phoenix

State

Arizona

Zip

85012-1886

Phone Number

480-241-2197

Fax Number

Type

Technologists, Technicians & Other Technical Service Providers

Classification

Technician, Pathology

Speciality

Clinical Laboratory Director, Non-physician

Taxonomy

247ZC0005X

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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