BRADSHAW MOUNTAIN DIAGNOSTIC LABORATORY INC.
NPI 1003802075
Clinical Medical Laboratory in Prescott,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 23, 2005

Contact Information

990 Willow Creek Rd
Prescott,
Post Code: 86301
Phone: (928) 778-7823
Fax: (928) 778-9419

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Bradshaw Mountain Diagnostic Laboratory Inc. in Prescott - Clinical Medical Laboratory

Bradshaw Mountain Diagnostic Laboratory Inc. is a Clinical Medical Laboratory in Prescott, . Bradshaw Mountain Diagnostic Laboratory Inc. practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Bradshaw Mountain Diagnostic Laboratory Inc. is 1003802075. The last update date is 2020-08-22.

Bradshaw Mountain Diagnostic Laboratory Inc.'s current location address is 990 Willow Creek Rd, Prescott, . You can contact this provider via phone number (928) 778-7823 and fax number (928) 778-9419. The mailing address for Bradshaw Mountain Diagnostic Laboratory Inc. is 990 Willow Creek Rd, Prescott, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1003802075
Provider Legal Name
BRADSHAW MOUNTAIN DIAGNOSTIC LABORATORY INC.
Other Organization Name
BRADSHAW MOUNTAIN DIAGNOSTIC LABORATORY INC.
Other Name Type
-
Entity Type
Organization
Location Address
990 Willow Creek Rd, Prescott,
Location Phone
(928) 778-7823
Location Fax
(928) 778-9419
Mailing Address
990 Willow Creek Rd, Prescott, Arizona(AZ)
Mailing Phone
928-778-7823
Mailing Fax
928-778-9419
Enumeration Date
2005-09-23
Last Update Date
2020-08-22
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
-
License No.
03D0533969
License State
Arizona (AZ)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
050576 MEDICAID (05) Arizona (AZ)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003802075
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20031604014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20031604014
2 + 0 + 0 + 3 + 1 + 6 + 0 + 4 + 0 + 1 + 4 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 5 5

The NPI number 1003802075 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003800921 GILBERT D. SHAPIRO
Individual
Podiatrist, Foot Surgery 1888 N COUNTRY CLUB RD
TUCSON, Arizona (AZ)
520-327-6367
1003800319 BONNIE KURTH
Individual
Physical Therapist 15953 N GREENWAY HAYDEN LOOP
SCOTTSDALE, Arizona (AZ)
480-998-4848