Revived Medical Lab, LLC
NPI 1811664519 · Clinical Medical Laboratory · Florence, SC
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revived Medical Lab, LLC is a Clinical Medical Laboratory organization in Florence, SC (NPI 1811664519).
Provider details
- NPI number
- 1811664519
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Lavanda Martin, Director(843) 799-2649
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES 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
Mailing address
Registry dates
- Enumerated
- 2021-08-30
- Last updated
- 2021-10-11
- Certified
- 2021-10-11
Frequently asked questions
- What is Revived Medical Lab, LLC's NPI number?
- Revived Medical Lab, LLC's National Provider Identifier (NPI) is 1811664519, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revived Medical Lab, LLC?
- Revived Medical Lab, LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Revived Medical Lab, LLC located?
- Revived Medical Lab, LLC's practice location on file with NPPES is 2724 W Palmetto St Ste 5, Florence, SC 29501-4909.
- What is Revived Medical Lab, LLC's phone number?
- The practice phone number listed in the NPPES registry for Revived Medical Lab, LLC is (843) 799-2649.
- Does Revived Medical Lab, LLC accept Medicare?
- Revived Medical Lab, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Revived Medical Lab, LLC?
- The authorized official listed on Revived Medical Lab, LLC's NPPES record is Lavanda Martin, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revived Medical Lab, LLC's NPI active?
- Yes — Revived Medical Lab, LLC's NPI (1811664519) is active in the NPPES registry as of the last update on 2021-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.