BRADSHAW MOUNTAIN DIAGNOSTIC LABORATORY INC (NPI# 1790932820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790932820 |
| Entity Type | Organization |
| Organization Name | BRADSHAW MOUNTAIN DIAGNOSTIC LABORATORY INC |
| Practice Address |
7732 East Florentine Rd Prescott Valley AZ 86314 |
| Mailing Address |
990 Willow Creek Rd Prescott AZ 86301-1640 |
| Practice Telephone | 9287725889 |
| Practice Fax Number | 9287755678 |
| Mailing Telephone | 9287787823 |
| Mailing Fax Number | 9287789419 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-20 |
| Authorized Official Name | MR. TOM FELLOWS (PRESIDENT) |
| Authorized Official Telephone | 9287787823 |
| Is Organization Subpart | Y |
| Parent Organization Name | BRADSHAW MOUNTAIN DIAGNOSTIC LABORATORY INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508012253 | Bradshaw Mountain Diagnostic Laboratory Inc | Clinical Medical Laboratory | 579 W Wickenburg Way, #8, Wickenburg, AZ 85390-4300 | 2008-08-13 |
| 1144476896 | Bradshaw Mountain Diagnostic Laboratory Inc | Clinical Medical Laboratory | 203 S Candy Ln, Suite 115-b2, Cottonwood, AZ 86326-4120 | 2008-08-13 |
| Street Address |
7732 EAST FLORENTINE RD |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
| 1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
| 1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| Find all providers in zip 86314 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | 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 determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730326075 | Lab Express Inc | Clinical Medical Laboratory | 8168 E Florentine Rd Ste B, Prescott Valley, AZ 86314-8483 | 2009-01-08 |
| 1427208461 | Laboratory Corporation of America | Clinical Medical Laboratory | 7732 E Florentine, Prescott Valley, AZ 86314 | 2008-09-26 |
| 1639605421 | Vitas Laboratory LLC | Clinical Medical Laboratory | 3050 N Navajo Dr, Suite 108, Prescott Valley, AZ 86314-8663 | 2017-05-11 |
| 1578804282 | Sonora Quest Laboratories, LLC. | Clinical Medical Laboratory | 3161 N Windsong Dr, Suite B, Prescott Valley, AZ 86314-2213 | 2013-03-05 |
| 1730468612 | Laboratory Corporation of America | Clinical Medical Laboratory | 3051 N Windsong Dr, Rm 12, Prescott Valley, AZ 86314-2248 | 2011-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261804 | Cov19 Plus Testing Laboratory | Clinical Medical Laboratory | 793 N Alma School Rd # D1, Chandler, AZ 85224-3681 | 2020-10-09 |
| 1760089080 | Cov10 Plus Testing Laboratory | Clinical Medical Laboratory | 590 N Alma School Rd Ste 7, Chandler, AZ 85224-4382 | 2020-10-09 |
| 1841807492 | Prn Diagnostics LLC | Clinical Medical Laboratory | 7007 E Main St, Mesa, AZ 85207-8204 | 2020-09-28 |
| 1841803939 | Sochilt Brown | Clinical Medical Laboratory | 41810 N Venture Dr Ste 152, Anthem, AZ 85086-3169 | 2020-08-28 |
| 1043821051 | Spectacular Med LLC | Clinical Medical Laboratory | 9989 N 95th St, Scottsdale, AZ 85258-4596 | 2020-08-12 |
| 1336757780 | Saguaro Health & Security LLC | Clinical Medical Laboratory | 4165 N Craftsman Ct Ste A, Scottsdale, AZ 85251-3863 | 2020-07-21 |
| 1346868452 | Covid Laboratories LLC | Clinical Medical Laboratory | 17727 N 92nd Way, Scottsdale, AZ 85255-6025 | 2020-07-06 |
| 1649890807 | Promed Services LLC | Clinical Medical Laboratory | 6986 E Mary Dr, Tucson, AZ 85730-1713 | 2020-04-17 |
| 1780203638 | Translational Genomics Research Institute | Clinical Medical Laboratory | 3051 W Shamrell Blvd Ste 106, Flagstaff, AZ 86005-9435 | 2020-04-10 |
| 1710512389 | Path Analytics Laboratory LLC | Clinical Medical Laboratory | 13402 N Scottsdale Rd Ste B195, Scottsdale, AZ 85254-4066 | 2020-03-04 |
| Find all providers with the same taxonomy | ||||
| City | PRESCOTT VALLEY |
| Zip Code | 86314 |
Please comment or provide details below to improve the information on BRADSHAW MOUNTAIN DIAGNOSTIC LABORATORY INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.