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Bradshaw Mountain Diagnostic Laboratory Inc.

Clinical Medical Laboratory

TOM FELLOWS
NPI: 1003802075Prescott, Arizona, 86301(928) 778-7823

About Bradshaw Mountain Diagnostic Laboratory Inc.

Bradshaw Mountain Diagnostic Laboratory Inc. is a healthcare organization providing Clinical Medical Laboratory services, registered under National Provider Identifier (NPI) number 1003802075. The authorized official for Bradshaw Mountain Diagnostic Laboratory Inc. is TOM FELLOWS.

The organization is headquartered at 990 WILLOW CREEK RD, Prescott, Arizona 86301. The main office can be reached at (928) 778-7823. Bradshaw Mountain Diagnostic Laboratory Inc. has been NPI-registered since 2005.

Locations & Contact

Primary Location

Address
990 WILLOW CREEK RD
City
Prescott
State
Arizona
ZIP
86301-1640
Phone
(928) 778-7823
Fax
(928) 778-9419
View on Google Maps

Authorized Official

Name
TOM FELLOWS

Mailing Address

Address
990 WILLOW CREEK RD
City
PRESCOTT
State
AZ
ZIP
863011640

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Clinical Medical Laboratory
Classification
Clinical Medical Laboratory
Taxonomy Code
291U00000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Bradshaw Mountain Diagnostic Laboratory Inc.'s NPI number?
Bradshaw Mountain Diagnostic Laboratory Inc.'s National Provider Identifier (NPI) is 1003802075. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Bradshaw Mountain Diagnostic Laboratory Inc. specialize in?
Bradshaw Mountain Diagnostic Laboratory Inc. specializes in Clinical Medical Laboratory.
Where is Bradshaw Mountain Diagnostic Laboratory Inc. located?
Bradshaw Mountain Diagnostic Laboratory Inc. practices at 990 WILLOW CREEK RD, Prescott, Arizona 86301. You can reach them by phone at (928) 778-7823.
Does Bradshaw Mountain Diagnostic Laboratory Inc. accept Medicare?
Based on available data, Bradshaw Mountain Diagnostic Laboratory Inc. is not currently enrolled in the Medicare program.
Does Bradshaw Mountain Diagnostic Laboratory Inc. offer telehealth or virtual visits?
Bradshaw Mountain Diagnostic Laboratory Inc. does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Bradshaw Mountain Diagnostic Laboratory Inc. holds NPI 1003802075, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.