OrganizationActive
High Desert Diagnostic Laboratory
NPI 1063831121 · Clinical Medical Laboratory · Prescott, AZ
High Desert Diagnostic Laboratory is a Clinical Medical Laboratory organization in Prescott, AZ (NPI 1063831121).
Provider details
- NPI number
- 1063831121
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Thomas Fellows, President(928) 713-1290
- License
- 03D2075971 (AZ)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1003 Division St
Suite 5
Prescott, AZ 86301-1657
Phone: (928) 445-0103
Fax: (928) 445-1032
Street-level locationGet directions
Mailing address
1003 Division St
Prescott, AZ 86301-1657
Registry dates
- Enumerated
- 2014-04-15
- Last updated
- 2014-04-15
Frequently asked questions
- What is High Desert Diagnostic Laboratory's NPI number?
- High Desert Diagnostic Laboratory's National Provider Identifier (NPI) is 1063831121, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is High Desert Diagnostic Laboratory?
- High Desert Diagnostic Laboratory is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is High Desert Diagnostic Laboratory located?
- High Desert Diagnostic Laboratory's practice location on file with NPPES is 1003 Division St, Prescott, AZ 86301-1657.
- What is High Desert Diagnostic Laboratory's phone number?
- The practice phone number listed in the NPPES registry for High Desert Diagnostic Laboratory is (928) 445-0103.
- Who is the authorized official for High Desert Diagnostic Laboratory?
- The authorized official listed on High Desert Diagnostic Laboratory's NPPES record is Thomas Fellows, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is High Desert Diagnostic Laboratory's NPI active?
- Yes — High Desert Diagnostic Laboratory's NPI (1063831121) is active in the NPPES registry as of the last update on 2014-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.