Individual provider · Type 1 NPI

Amy Bannerman, PHLEBOTOMIST

Pathology Specialist/Technologist · Wallace, NC

NPI number 1104771450 Active

Practice location

133 Glendale Village Ln
Wallace, NC 28466-1637

Specialties and licenses

TaxonomyCodeLicense
Pathology Specialist/Technologist Primary 246Q00000XY2G5T7L7 (NC)

Pathology Specialist/Technologist: (1) An individual educated and trained in clinical chemistry, microbiology or other biological sciences; and in gathering data on the blood, tissues, and fluids in the human body. Tests and procedures performed or supervised center on major areas of hematology, microbiology, immunohematology, immunology, clinical chemistry and urinalysis. Education and certification requires the equivalent of an associate degree and…

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About NPI 1104771450

Amy Bannerman, PHLEBOTOMIST's National Provider Identifier is 1104771450, issued on Mar 2, 2026. The primary taxonomy on file is Pathology Specialist/Technologist (246Q00000X), and the practice location is in Wallace, NC. The record was last updated on Mar 2, 2026.