Bradshaw Mountain Diagnostic Laboratory Inc

LBN: Bradshaw Mountain Diagnostic Laboratory Inc
Bradshaw Mountain Diagnostic Laboratory Inc is an health care organization with primary practice located at 7732 East Florentine Rd , Prescott Valley AZ 86314. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Bradshaw Mountain Diagnostic Laboratory Inc can be contacted via phone (928) 772-5889, or through Fellows, Tom via phone (928) 778-7823.

Contact Information

Primary practice address
7732 East Florentine Rd Prescott Valley AZ 86314
Fax: (928) 775-5678
Website:
Authorized official contact:
Name: Fellows, Tom

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1790932820
LBN Legal business name Bradshaw Mountain Diagnostic Laboratory Inc
DBA Doing business as
Authorized official Fellows, Tom
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 20th, 2008
Last updated Aug 20th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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