IndividualActive
Ronald Revere, TRAINING
NPI 1174369540 · Laboratory Management Specialist/Technologist · Greenville, MS
Provider details
- NPI number
- 1174369540
- Entity type
- Individual
- Primary specialty
- Laboratory Management Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- TRAINING
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
2341 Highway 1 S
Greenville, MS 38701-8337
Phone: (833) 613-7333
Approximate (ZIP-level) locationGet directions
Mailing address
1100 Cloverdale Dr
Greenville, MS 38701-8301
Registry dates
- Enumerated
- 2024-07-05
- Last updated
- 2024-07-05
- Certified
- 2024-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.