Healthcare Provider Details

I. General information

NPI: 1952195091
Provider Name (Legal Business Name): DISCOVERY DIAGNOSTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2025
Last Update Date: 04/05/2025
Certification Date: 04/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9610 TWO NOTCH RD STE 8
COLUMBIA SC
29223-1601
US

IV. Provider business mailing address

136 THOMASTON DR
COLUMBIA SC
29229-8191
US

V. Phone/Fax

Practice location:
  • Phone: 803-380-8211
  • Fax: 839-213-4908
Mailing address:
  • Phone: 803-563-1134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MS. KENDRA HARLEY
Title or Position: OWNER
Credential:
Phone: 803-380-8211