Reva Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

REVA DIAGNOSTICS LLC

Practice address

4099 McEwen Rd Ste 132
Dallas, TX 75244-5023

Phone

(813) 928-7939

NPI assigned

Jun 27, 2026

Organization subpart

No

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

Authorized official

Name

Sue Kincer

Title

Billing Manager

Phone

(813) 928-7939

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1782518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782518400000",
    "number": "1376469916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4099 MCEWEN RD STE 132",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445023",
            "telephone_number": "813-928-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4099 MCEWEN RD STE 132",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445023",
            "telephone_number": "813-928-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVA DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-27",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A",
        "authorized_official_last_name": "KINCER",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "813-928-7939"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Helen Reubin, OTR
• Mark David Reusche, MD
• Taylor Reusche
• Ashleigh Reuter
• Emma Reutimann, PHD
• Annette O Revak, M.D.
• Revelation Counseling and Consulting, Inc
• Jeanne Buenaflor Reveldez, FNP
• Guadalupe Reveles
• Melissa Reveles, OD

• Clinical Medical Laboratory in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2026; 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.