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

Revived Medical Lab, LLC

Organization Clinical Medical Laboratory · NPI 1811664519

Revived Medical Lab, LLC is a Clinical Medical Laboratory in Florence, South Carolina. Registered with an NPI since 2021.

In the registry since
2021
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

2724 W Palmetto St Ste 5
Florence, SC 29501-4909
Phone: (843) 799-2649
Fax: (843) 799-4224
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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 number1811664519
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lavanda Martin — Director · (843) 799-2649
NPI enumeratedAugust 30, 2021
Last updated in NPPESOctober 11, 2021
Certification dateOctober 11, 2021
Mailing address2724 W Palmetto St Ste 5, Florence, SC 29501-4909

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