Provider Demographics
NPI:1417554098
Name:DISCOVER LABS LLC
Entity Type:Organization
Organization Name:DISCOVER LABS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-382-0117
Mailing Address - Street 1:13776 N US HIGHWAY 183 STE 108
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-1875
Mailing Address - Country:US
Mailing Address - Phone:512-382-0117
Mailing Address - Fax:512-727-4044
Practice Address - Street 1:13776 N US HIGHWAY 183 STE 108
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1875
Practice Address - Country:US
Practice Address - Phone:512-382-0117
Practice Address - Fax:512-727-4044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory