Discover Diagnostic Laboratory, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DISCOVER DIAGNOSTIC LABORATORY, LLC

Practice address

110 Cypress Station Dr Ste 117
Houston, TX 77090-1626

Phone

(424) 999-8698

NPI assigned

Apr 16, 2024

Last updated

Apr 16, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Coffman

Title

Ceo

Phone

(865) 257-0569

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Discover Diagnostic Laboratory, LLC

  • Clinical Medical Laboratory
  • Oak Ridge, TN
  • NPI 1154720662

  5395060388

  Same PAC ID

Tax ID family

Discover Diagnostic Laboratory LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Discover Diagnostic Laboratory, LLC

  • Clinical Medical Laboratory
  • Oak Ridge, TN
  • NPI 1154720662
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1134973084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 S ILLINOIS AVE STE B104",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307974",
            "telephone_number": "855-314-3337",
            "fax_number": "888-965-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CYPRESS STATION DR STE 117",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770901626",
            "telephone_number": "424-999-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVER DIAGNOSTIC LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "865-257-0569"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki Lynne Discon, CSFA
• Discount Hearing AIDS of Texas, Inc.
• Discount Mobility Equipment, Inc
• Discount Patients Transportation
• Discount RX LLC
• Discover Home Care, LLC
• Discovery Alcohol & Drug Education Program, LLC
• Discovery Community of Houston (Houston Discovery Community/HDC)
• Discovery Health Services LLC
• Discovery International (not applicable)

• Clinical Medical Laboratory in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.