Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Wilson

Individual provider Clinical Laboratory Director (Non-physician) · NPI 1043979214

Amanda Wilson is a Clinical Laboratory Director (Non-physician) in Phoenix, Arizona. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

411 E Indian School Rd Apt 2119
Phoenix, AZ 85012-1886
Phone: (480) 241-2197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Laboratory Director (Non-physician) (primary) Taxonomy 247ZC0005X

Record details

NPI number1043979214
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 15, 2021
Last updated in NPPESDecember 15, 2021
Certification dateDecember 15, 2021
Mailing address1701 E Meadowbrook Ave Apt 346, Phoenix, AZ 85016-5113

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