Bradshaw Mountain Diagnostic Laboratory Inc
NPI 1508012253 · Clinical Medical Laboratory · Wickenburg, AZ
Bradshaw Mountain Diagnostic Laboratory Inc is a Clinical Medical Laboratory organization in Wickenburg, AZ (NPI 1508012253).
Provider details
- NPI number
- 1508012253
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Parent organization
- Bradshaw Mountain Diagnostic Laboratory Inc
- Organization subpart
- Yes
- Authorized official
- Tom Fellows, President(928) 778-7823
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Registry dates
- Enumerated
- 2008-08-13
- Last updated
- 2008-08-13
Frequently asked questions
- What is Bradshaw Mountain Diagnostic Laboratory Inc's NPI number?
- Bradshaw Mountain Diagnostic Laboratory Inc's National Provider Identifier (NPI) is 1508012253, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bradshaw Mountain Diagnostic Laboratory Inc?
- Bradshaw Mountain Diagnostic Laboratory Inc is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Bradshaw Mountain Diagnostic Laboratory Inc located?
- Bradshaw Mountain Diagnostic Laboratory Inc's practice location on file with NPPES is 579 W Wickenburg Way, Wickenburg, AZ 85390-4300.
- What is Bradshaw Mountain Diagnostic Laboratory Inc's phone number?
- The practice phone number listed in the NPPES registry for Bradshaw Mountain Diagnostic Laboratory Inc is (928) 684-0332.
- Who is the authorized official for Bradshaw Mountain Diagnostic Laboratory Inc?
- The authorized official listed on Bradshaw Mountain Diagnostic Laboratory Inc's NPPES record is Tom Fellows, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bradshaw Mountain Diagnostic Laboratory Inc's NPI active?
- Yes — Bradshaw Mountain Diagnostic Laboratory Inc's NPI (1508012253) is active in the NPPES registry as of the last update on 2008-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.