Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Bradshaw Mountain Diagnostic Laboratory Inc

Clinical Medical Laboratory in Wickenburg, AZ · enumerated 2008 · authorized official Tom Fellows, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508012253

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Bradshaw Mountain Diagnostic Laboratory Inc

Parent organization Bradshaw Mountain Diagnostic Laboratory Inc

Practice address 579 W Wickenburg Way, #8, Wickenburg, AZ, 85390

Phone (928) 684-0332

Fax (928) 684-0537

Enumeration date Aug 13, 2008

Last updated in NPPES Aug 13, 2008

Taxonomy & classification

291U00000X Clinical Medical Laboratory Laboratories Primary

Authorized official

Name Tom Fellows

Title President

Phone (928) 778-7823

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Bradshaw Mountain Diagnostic Laboratory Inc?

Bradshaw Mountain Diagnostic Laboratory Inc is registered in NPPES as a Clinical Medical Laboratory (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-08-13.