Healthcare Provider Details

I. General information

NPI: 1841443439
Provider Name (Legal Business Name): DISCOVERY DIAGNOSTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2008
Last Update Date: 11/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2626 DENVER ST
MUSKOGEE OK
74401-5334
US

IV. Provider business mailing address

506 SAGE CT
HIGHLAND VILLAGE TX
75077-3183
US

V. Phone/Fax

Practice location:
  • Phone: 866-848-2522
  • Fax:
Mailing address:
  • Phone: 972-998-1548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: STEVEN ESTES
Title or Position: PRESIDENT
Credential:
Phone: 972-998-1548