BRADSHAW MOUNTAIN DIAGNOSTIC LABORATORY INC

WICKENBURG, AZ
NPI1508012253
Entity TypeOrganization
Authorized ContactTOM FELLOWS
President
928-778-7823
Organization Subpart ?Yes
Primary Taxonomy291U00000X Clinical Medical Laboratory
Enumeration Date2008-08-13
Last Update Date2008-08-13
Business Address
BRADSHAW MOUNTAIN DIAGNOSTIC LABORATORY INC
579 W WICKENBURG WAY #8
WICKENBURG, AZ 85390-4300
Phone number: 928-684-0332
Mailing Address
BRADSHAW MOUNTAIN DIAGNOSTIC LABORATORY INC
990 WILLOW CREEK RD
PRESCOTT, AZ 86301-1640
Phone number: 928-778-7823
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