Organization
REVA DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE KINCER (BILLING MANAGER)
(813) 928-7939
Entity
Organization
Contact information
Practice address
4099 MCEWEN RD STE 132, DALLAS, TX 75244-5023
(813) 928-7939
Mailing address
4099 MCEWEN RD STE 132, DALLAS, TX 75244-5023
(813) 928-7939
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/27/2026
Last updated
06/27/2026
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