REVIVE GENETICS LLC
NPI 1083568703
Clinical Medical Laboratory in Palmetto Bay, FL
About Revive Genetics Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVE GENETICS LLC (NPI 1083568703) is a healthcare organization registered as a clinical medical laboratory in Palmetto Bay, Florida and active in the NPI registry since February 2026. The organization holds a CLIA Certificate of Compliance certificate valid through January 19, 2028 and lists Farzaneh Modarresi, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 10D2337214
Revive Genetics LLC · Palmetto Bay, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Revive Genetics LLC's NPI number?
The NPI number for Revive Genetics LLC is 1083568703. It was assigned to this organization in the NPPES registry on February 21, 2026.
Where is Revive Genetics LLC located?
Revive Genetics LLC is located at 9000 SW 152nd St Ste 107, Palmetto Bay, FL 33157. The listed phone number is (786) 250-3419.
What is Revive Genetics LLC's specialty?
The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.
Does Revive Genetics LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 10D2337214) is associated with this NPI, valid through January 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Revive Genetics LLC was last updated on February 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.