Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revive Genetics LLC

Organization Clinical Medical Laboratory · NPI 1083568703

Revive Genetics LLC is a Clinical Medical Laboratory in Palmetto Bay, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9000 SW 152nd St Ste 107
Palmetto Bay, FL 33157-1941
Phone: (786) 250-3419
Fax: (786) 250-3079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1083568703
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Farzaneh Modarresi — Owner · (786) 250-3419
NPI enumeratedFebruary 21, 2026
Last updated in NPPESFebruary 21, 2026
Certification dateFebruary 21, 2026
Mailing address9000 Sw 152nd St Ste 107, Palmetto Bay, FL 33157-1941

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