OrganizationActive
Revive Genetics LLC
NPI 1083568703 · Clinical Medical Laboratory · Palmetto Bay, FL
Revive Genetics LLC is a Clinical Medical Laboratory organization in Palmetto Bay, FL (NPI 1083568703).
Provider details
- NPI number
- 1083568703
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Farzaneh Modarresi, Owner(786) 250-3419
Specialties & taxonomies
Laboratories
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9000 Sw 152nd St Ste 107
Palmetto Bay, FL 33157-1941
Phone: (786) 250-3419
Fax: (786) 250-3079
Street-level locationGet directions
Mailing address
9000 Sw 152nd St Ste 107
Palmetto Bay, FL 33157-1941
Registry dates
- Enumerated
- 2026-02-21
- Last updated
- 2026-02-21
- Certified
- 2026-02-21
Frequently asked questions
- What is Revive Genetics LLC's NPI number?
- Revive Genetics LLC's National Provider Identifier (NPI) is 1083568703, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Genetics LLC?
- Revive Genetics LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Revive Genetics LLC located?
- Revive Genetics LLC's practice location on file with NPPES is 9000 Sw 152nd St Ste 107, Palmetto Bay, FL 33157-1941.
- What is Revive Genetics LLC's phone number?
- The practice phone number listed in the NPPES registry for Revive Genetics LLC is (786) 250-3419.
- Who is the authorized official for Revive Genetics LLC?
- The authorized official listed on Revive Genetics LLC's NPPES record is Farzaneh Modarresi, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Genetics LLC's NPI active?
- Yes — Revive Genetics LLC's NPI (1083568703) is active in the NPPES registry as of the last update on 2026-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.