Organization · Type 2 NPI

Ma Revive

Clinical Medical Laboratory · Antioch, TN

NPI number 1609581917 Active

Practice location

845 Bell Rd Ste 115
Antioch, TN 37013-3172

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory Primary 291U00000XNone listed

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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About NPI 1609581917

Ma Revive's National Provider Identifier is 1609581917, issued on Jan 20, 2023. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Antioch, TN. The record was last updated on Oct 2, 2024.