Ronald T Revere Jr., TRAINING

Primary specialty

Laboratory Management Specialist/TechnologistTaxonomy code 246QL0900X

Practice address

2341 Highway 1 S
Greenville, MS 38701-8337

Phone

(833) 613-7333

NPI assigned

Jul 5, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Valhar Solutions, LLC

  • Health Service Clinic/Center
  • Greenville, MS
  • NPI 1689401945
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1174369540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CLOVERDALE DR",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387018301",
            "telephone_number": "504-344-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 HIGHWAY 1 S",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387018337",
            "telephone_number": "833-613-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVERE",
        "first_name": "RONALD",
        "middle_name": "T",
        "name_suffix": "Jr.",
        "credential": "TRAINING",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QL0900X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ride Aid

• Pathology Specialist/Technologist in Greenville, MS
• Providers in Greenville, MS by specialty
• Pathology Specialist/Technologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.