Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bradshaw Mountain Diagnostic Laboratory Inc

Organization Clinical Medical Laboratory · NPI 1144476896

Bradshaw Mountain Diagnostic Laboratory Inc is a Clinical Medical Laboratory in Cottonwood, Arizona. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

203 S Candy Ln Ste 115-B2
Cottonwood, AZ 86326-4120
Phone: (928) 634-0495
Fax: (928) 634-0565
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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

Record details

NPI number1144476896
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBradshaw Mountain Diagnostic Laboratory Inc
Authorized official Tom Fellows — President · (928) 778-7823
NPI enumeratedAugust 13, 2008
Last updated in NPPESAugust 13, 2008
Mailing address990 Willow Creek Rd, Prescott, AZ 86301-1640

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