Bradshaw Mountain Diagnostic Laboratory Inc
Bradshaw Mountain Diagnostic Laboratory Inc is a Clinical Medical Laboratory in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2005.
- Licensed in
- AZ
- In the registry since
- 2005
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
990 Willow Creek RdPrescott, AZ 86301-1640
Phone: (928) 778-7823
Fax: (928) 778-9419
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X (AZ) |
|---|
Record details
| NPI number | 1003802075 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tom Fellows — President · (928) 778-7823 |
| NPI enumerated | September 23, 2005 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 990 Willow Creek Rd, Prescott, AZ 86301-1640 |
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