MS. AMANDA TRACEY M.T. NPI 1902121585

NPI Information

NPI: 1902121585
Provider Name: MS. AMANDA TRACEY, M.T.
Classification: Specialist/Technologist, Pathology - 246QL0900X
Entity Type: Individual

Specialization: Laboratory Management

Address:
HIGHWAY 264, MILEPOST 388
LABORATORY
POLACCA, AZ
ZIP 86042
Phone: (928) 737-6220
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MS. Amanda Tracey, M.T. is a laboratory management specialist technologist pathology in Polacca, AZ. MS. Amanda Tracey, M.T. NPI is 1902121585. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

HIGHWAY 264, MILEPOST 388
LABORATORY
POLACCA, AZ
ZIP 86042
Phone: (928) 737-6220
Fax: (928) 737-6047

The enumeration date for this NPI number is 4/7/2010 and was last updated on 4/7/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246QL0900X	Specialist/Technologist, Pathology	Laboratory Management			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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