Healthcare Provider Details

I. General information

NPI: 1053238733
Provider Name (Legal Business Name): DISCOVER LAB SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 09/20/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 LEWIS HARGETT CIR
LEXINGTON KY
40503-3689
US

IV. Provider business mailing address

2001 GARDEN SPRINGS DR APT 27
LEXINGTON KY
40504-3421
US

V. Phone/Fax

Practice location:
  • Phone: 973-705-7179
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. DHEERAJ TEWARI
Title or Position: PRESIDENT
Credential: OWNER
Phone: 973-705-7179