NPI 1063831121
High Desert Diagnostic Laboratory
Practice location
- Address
- 1003 Division St Suite 5, Prescott, AZ 86301-1657
- Phone
- (928) 445-0103
- Fax
- (928) 445-1032
- Mailing address
- 1003 Division St Suite 3, Prescott, AZ 86301-1657
Authorised official
- Name
- Thomas C Fellows
- Title
- President
- Phone
- (928) 713-1290
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1063831121
- Entity type
- Organization
- NPI issued
- 15 Apr 2014
- Record last updated
- 15 Apr 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.