Discovery Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

802128493 Issued in TX

Legal business name

DISCOVERY LABORATORY LLC

Practice address

10851 Miller Rd
Suite B
Dallas, TX 75238-1315

Phone

(972) 373-4411

Fax

(972) 373-4412

NPI assigned

Sep 2, 2015

Last updated

Sep 2, 2015By 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

Mr. Kevin Jones

Title

Ceo

Phone

(830) 237-9702

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1629446059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551849",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753551849",
            "telephone_number": "972-373-4411",
            "fax_number": "972-373-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10851 MILLER RD",
            "address_2": "SUITE B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752381315",
            "telephone_number": "972-373-4411",
            "fax_number": "972-373-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "830-237-9702",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "802128493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Dirks
• James L Dirting, MD
• Thomas John Disanto, PA-C
• Discovering Hope
• Discovering Hope
• Discovery Texas Interventional Psychiatry PLLC
• Jesse Dishaw
• O Keith Dishman, O.D.
• Emma Lucille Dishner, MPH
• Leigh Alice Dismukes, OTR

• Clinical Medical Laboratory in Dallas, TX
• Providers in Dallas, 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 Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.