WILBUR DOMENDEN BAUTISTA
NPI 1205315983
Specialist/Technologist, Pathology - Medical Technologist in Tacoma, WA

Active since August 13, 2018
1901 S UNION AVE BLDG B STE 2011, TACOMA, WA 98405(253) 272-0324(253) 272-0490 Get Directions Write a Review

NPPES record last updated: August 13, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Wilbur Domenden Bautista NPPES

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

WILBUR DOMENDEN BAUTISTA (NPI 1205315983) is an individual medical technologist in Tacoma, Washington and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1205315983
Entity TypeIndividualMale
Primary Taxonomy246QM0706X
Provider Legal NameWILBUR DOMENDEN BAUTISTA
Location Address1901 S UNION AVE BLDG B STE 2011Tacoma, WA 98405
Mailing Address4253 E Roosevelt AveTacoma, WA 98404-4659 · (808) 387-7618
Fax(253) 272-0490
Sole ProprietorYes
Enumeration DateAugust 13, 2018
NPI 1205315983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, Pathology · Medical TechnologistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246QM0706X
1901 S UNION AVE BLDG B STE 2011, Tacoma, WA 98405

Other Providers at the Same Location NPPES

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

Pharmacy
1901 S UNION AVE BLDG B STE 2011
TACOMA, WA 98405

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 Wilbur Bautista's NPI number?

The NPI number for Wilbur Bautista is 1205315983. It was assigned to this individual provider in the NPPES registry on August 13, 2018.

Where is Wilbur Bautista located?

Wilbur Bautista practices at 1901 S Union Ave Bldg B Ste 2011, Tacoma, WA 98405. The listed phone number is (253) 272-0324.

What is Wilbur Bautista's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Pathology, specializing in Medical Technologist, with taxonomy code 246QM0706X.

When was this NPI record last updated?

The NPPES record for Wilbur Bautista was last updated on August 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.