Organization
REVIVE GENETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARZANEH MODARRESI PRESIDENT (OWNER)
(786) 250-3419
Entity
Organization
Contact information
Practice address
9000 SW 152ND ST STE 107, PALMETTO BAY, FL 33157-1941
(786) 250-3419
(786) 250-3079
Mailing address
9000 SW 152ND ST STE 107, PALMETTO BAY, FL 33157-1941
(786) 250-3419
(786) 250-3079
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/21/2026
Last updated
02/21/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us