Organization
REVIV PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA LISA JOB (OPERATIONS MANAGER)
(701) 526-6530
Entity
Organization
Contact information
Practice address
3029 BRANDT DR S STE A, FARGO, ND 58104-9140
(701) 566-5306
Mailing address
3029 BRANDT DR S STE A, FARGO, ND 58104-9140
(701) 566-5306
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
06/17/2021
Last updated
02/04/2025
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