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

High Desert Diagnostic Laboratory

Organization Clinical Medical Laboratory · NPI 1063831121

High Desert Diagnostic Laboratory is a Clinical Medical Laboratory in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2014.

Licensed in
AZ
In the registry since
2014

Practice location Address checks out

1003 Division St Ste 5
Prescott, AZ 86301-1657
Phone: (928) 445-0103
Fax: (928) 445-1032
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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 · Licence 03D2075971 (AZ)

Record details

NPI number1063831121
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Fellows — President · (928) 713-1290
NPI enumeratedApril 15, 2014
Last updated in NPPESApril 15, 2014
Mailing address1003 Division St, Suite 3, Prescott, AZ 86301-1657

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