Organization Active NPI

Revival Research

  • Research Clinic/Center
  • Doral, FL
National Provider Identifier
1720598303
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Clinic/CenterTaxonomy code 261QR1100X
Legal business name
REVIVAL RESEARCH
Practice address
8200 NW 27TH St Ste 116
Doral, FL 33122-1902
Phone
(305) 982-8892
NPI assigned
Oct 9, 2017
Last updated
Oct 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

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

Authorized official

Name
Hansell Leyva
Title
Site Director
Phone
(305) 982-8892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Clinic/Center 261QR1100X Primary

Addresses

Primary practice location

8200 NW 27TH St Ste 116
Doral, FL 33122-1902

Mailing address

8200 NW 27TH St Ste 116
Doral, FL 33122-1902
Phone (305) 982-8892

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2123378Revival Research Corporation8200 NW 27TH Street Ste 116, Doral, FL 33122Certificate of waiverDec 19, 2026

National Provider Directory

National Provider Directory

Locations

8200 NW 27th St
Ste 116
Doral, FL 33122
Phone (305) 982-8892

NPI Registry JSON

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507507200000",
    "number": "1720598303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 NW 27TH ST STE 116",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221902",
            "telephone_number": "305-982-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 NW 27TH ST STE 116",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221902",
            "telephone_number": "305-982-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAL RESEARCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-09",
        "last_updated": "2017-10-09",
        "status": "A",
        "authorized_official_last_name": "LEYVA",
        "authorized_official_first_name": "HANSELL",
        "authorized_official_title_or_position": "SITE DIRECTOR",
        "authorized_official_telephone_number": "305-982-8892"
    },
    "taxonomies": [
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.