Organization
REVEAL DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIMEE KNIGHT (OWNER)
(415) 837-5990
Entity
Organization
Contact information
Practice address
5319 SW WESTGATE DR STE 128, PORTLAND, OR 97221-2411
(415) 837-5990
Mailing address
4217 PIEDMONT AVE, SUITE B, OAKLAND, CA 94611
(415) 730-0970
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
261QD0000X
Dental Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
11/05/2025
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