Provider Demographics
NPI:1952195091
Name:DISCOVERY DIAGNOSTICS
Entity type:Organization
Organization Name:DISCOVERY DIAGNOSTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-380-8211
Mailing Address - Street 1:136 THOMASTON DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-8191
Mailing Address - Country:US
Mailing Address - Phone:803-563-1134
Mailing Address - Fax:
Practice Address - Street 1:9610 TWO NOTCH RD STE 8
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-1601
Practice Address - Country:US
Practice Address - Phone:803-380-8211
Practice Address - Fax:839-213-4908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-05
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory