NPI: 1669127379
Provider Name: K&MT
Doing Business As: K&M TESTING KMSA
Classification: Pathology - 247ZC0005X
Entity Type: Organization
Specialization: Clinical Laboratory Director, Non-physician
Address:
411 E INDIAN SCHOOL RD APT 2119
PHOENIX, AZ
ZIP 85012
Phone: (480) 241-2197
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K&MT is a clinical laboratory director and non-physician pathology in Phoenix, AZ. The provider is 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. K&MT NPI is 1669127379. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As K&m Testing Kmsa.
The provider's business location address is:
411 E INDIAN SCHOOL RD APT 2119
PHOENIX, AZ
ZIP 85012-886
Phone: (480) 241-2197
The provider's authorized official is Amanda Wilson .
The authorized official title is Owner and has the following contact phone number (480) 241-2197.
The enumeration date for this NPI number is 2/21/2022 and was last updated on 3/16/2022.