AMANDA TRACEY M.T. – NPI #1902121585
Specialist/Technologist, Pathology

AMANDA TRACEY is a technologist located in POLACCA, AZ. NPPES has assigned the NPI number 1902121585 to AMANDA TRACEY on April 07, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246QL0900X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Pathology, specializing in Laboratory Management

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMANDA TRACEY below.

NPI Profile for
AMANDA TRACEY

NPI Number
1902121585
Enumeration Date

(more than 16 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
AMANDA TRACEY
Credentials
M.T.
Primary location
HIGHWAY 264, MILEPOST 388
LABORATORY
POLACCA, AZ 86042
Phone: (928) 737-6220 Fax: (928) 737-6047
Mailing address
PO BOX 4000
LABORATORY
POLACCA, AZ 86034
Phone: (928) 737-6220 Fax: (928) 737-6047
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246QL0900X
- Specialist/Technologist, Pathology / Laboratory Management (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.