BRADSHAW MOUNTAIN DIAGNOSTIC LABORATORY INC.
NPI 1003802075
Clinical Medical Laboratory in Prescott, AZ
About Bradshaw Mountain Diagnostic Laboratory Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRADSHAW MOUNTAIN DIAGNOSTIC LABORATORY INC. (NPI 1003802075) is a healthcare organization registered as a clinical medical laboratory in Prescott, Arizona and active in the NPI registry since September 2005. The organization lists Tom Fellows, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PRESCOTT, AZ 86301
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bradshaw Mountain Diagnostic Laboratory Inc.'s NPI number?
The NPI number for Bradshaw Mountain Diagnostic Laboratory Inc. is 1003802075. It was assigned to this organization in the NPPES registry on September 23, 2005.
Where is Bradshaw Mountain Diagnostic Laboratory Inc. located?
Bradshaw Mountain Diagnostic Laboratory Inc. is located at 990 Willow Creek Rd, Prescott, AZ 86301. The listed phone number is (928) 778-7823.
What is Bradshaw Mountain Diagnostic Laboratory Inc.'s specialty?
The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.
When was this NPI record last updated?
The NPPES record for Bradshaw Mountain Diagnostic Laboratory Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.