Organization · Type 2 NPI

Bradshaw Mountain Diagnostic Laboratory Inc

Clinical Medical Laboratory · Wickenburg, AZ

NPI number 1508012253 Active

Practice location

579 W Wickenburg Way, #8
Wickenburg, AZ 85390-4300

Fax (928) 684-0537

Mailing address

990 Willow Creek Rd
Prescott, AZ 86301-1640

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory Primary 291U00000XNone listed

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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About NPI 1508012253

Bradshaw Mountain Diagnostic Laboratory Inc's National Provider Identifier is 1508012253, issued on Aug 13, 2008. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Wickenburg, AZ. The record was last updated on Aug 13, 2008.