AMANDA WILSON
NPI 1043979214
Pathology - Clinical Laboratory Director, Non-physician in Phoenix, AZ

Q: What is Amanda Wilson's NPI number?

The NPI number for Amanda Wilson is 1043979214. It was assigned to this individual provider in the NPPES registry on December 15, 2021.

Q: What is Amanda Wilson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Wilson was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 15, 2021

411 E INDIAN SCHOOL RD APT 2119, PHOENIX, AZ 85012(480) 241-2197 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Amanda Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA WILSON (NPI 1043979214) is an individual clinical laboratory director, non-physician in Phoenix, Arizona and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1043979214

Entity TypeIndividualFemale

Primary Taxonomy247ZC0005X

Provider Legal NameAMANDA WILSON

Location Address411 E INDIAN SCHOOL RD APT 2119Phoenix, AZ 85012-1886

Mailing Address1701 E Meadowbrook Ave Apt 346Phoenix, AZ 85016-5113 · (480) 241-2197

Phone(480) 241-2197

Sole ProprietorYes

Enumeration DateDecember 15, 2021

NPPES CertifiedDecember 15, 2021

✔ NPI 1043979214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247ZC0005X

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.

411 E INDIAN SCHOOL RD APT 2119, Phoenix, AZ 85012

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

K&MT

Pathology (Clinical Laboratory Director, Non-physician)

411 E INDIAN SCHOOL RD APT 2119
PHOENIX, AZ 85012

Maricopa County (480) 241-2197

KMSA TESTING

Pathology (Clinical Laboratory Director, Non-physician)

411 E INDIAN SCHOOL RD APT 2119
PHOENIX, AZ 85012

Maricopa County (480) 241-2197

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Wilson's NPI number?

The NPI number for Amanda Wilson is 1043979214. It was assigned to this individual provider in the NPPES registry on December 15, 2021.

Where is Amanda Wilson located?

Amanda Wilson practices at 411 E Indian School Rd Apt 2119, Phoenix, AZ 85012. The listed phone number is (480) 241-2197.

What is Amanda Wilson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Amanda Wilson was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.