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REVIVE MEDICAL, PLLC
NPI 1679239180
Clinic/Center - Emergency Care in El Paso, TX

Active since November 10, 2021CLIA 45D2196247 · Waiver
12285 PELLICANO DRIVE, SUITE A2, EL PASO, TX 79936(915) 248-4863(855) 891-7827 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2021, Nov 10, 2021 (2 updates tracked since 2021).

About Revive Medical, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVE MEDICAL, PLLC (NPI 1679239180) is a healthcare organization registered as an emergency care in El Paso, Texas and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through October 14, 2026 and lists Clifford Owen Janke, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1679239180
Entity TypeOrganization
Primary Taxonomy261QE0002X
Legal Business NameREVIVE MEDICAL, PLLC
Location Address12285 PELLICANO DRIVE, SUITE A2El Paso, TX 79936
Mailing Address12285 Pellicano Drive, Suite A2El Paso, TX 79936 · (915) 248-4863 · Fax (855) 891-7827
Phone(915) 248-4863
Fax(855) 891-7827
Organization SubpartNo
Authorized OfficialClifford Owen JankeMedical Director · (915) 248-4863
Enumeration DateNovember 10, 2021
Last NPPES UpdateDecember 15, 20212 updates tracked since enumeration
NPPES CertifiedDecember 15, 2021
✔ NPI 1679239180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyClinic/Center · Emergency CareAmbulatory Health Care Facilities
Taxonomy Code261QE0002X
Also ListedHome InfusionTaxonomy 251F00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
Also ListedEmergency Response System CompaniesTaxonomy 333300000X
Also ListedAmbulance · Land TransportTaxonomy 3416L0300X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
Also ListedNurse Practitioner · Occupational HealthTaxonomy 363LX0106X
12285 PELLICANO DRIVE, El Paso, TX 79936
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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 Waiver 45D2196247

Revive Medical, PLLC · El Paso, TX
Active · expires Oct 14, 2026
CLIA Number45D2196247
Laboratory TypeTexas Licensed Als Fro
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorClifford O. Janke
Laboratory Phone(915) 248-4863
Laboratory LocationRevive Medical, PLLC12285 Pellicano Suite A2, El Paso, TX 79936
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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 Medical, PLLC's NPI number?

The NPI number for Revive Medical, PLLC is 1679239180. It was assigned to this organization in the NPPES registry on November 10, 2021.

Where is Revive Medical, PLLC located?

Revive Medical, PLLC is located at 12285 Pellicano Drive Suite A2, El Paso, TX 79936. The listed phone number is (915) 248-4863.

What is Revive Medical, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Emergency Care, with taxonomy code 261QE0002X.

Does Revive Medical, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2196247) is associated with this NPI, valid through October 14, 2026. 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 Medical, PLLC was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.