BRADSHAW MOUNTAIN DIAGNOSTIC LABORATORY INC

PRESCOTT VALLEY, AZ
NPI1790932820
Entity TypeOrganization
Authorized ContactTOM FELLOWS
President
928-778-7823
Organization Subpart ?Yes
Primary Taxonomy291U00000X Clinical Medical Laboratory
Enumeration Date2008-08-20
Last Update Date2008-08-20
Business Address
BRADSHAW MOUNTAIN DIAGNOSTIC LABORATORY INC
7732 EAST FLORENTINE RD
PRESCOTT VALLEY, AZ 86314
Phone number: 928-772-5889
Mailing Address
BRADSHAW MOUNTAIN DIAGNOSTIC LABORATORY INC
990 WILLOW CREEK RD
PRESCOTT, AZ 86301-1640
Phone number: 928-778-7823
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