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

Bradshaw Mountain Diagnostic Laboratory Inc

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

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

National Provider Identifier

1790932820

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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 7732 East Florentine Rd, Prescott Valley, AZ, 86314

Phone (928) 772-5889

Fax (928) 775-5678

Enumeration date Aug 20, 2008

Last updated in NPPES Aug 20, 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 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.

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).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-08-20.