RONALD T. REVERE, JR. TRAINING – NPI #1174369540
Specialist/Technologist, Pathology

RONALD REVERE, JR. is a technologist located in GREENVILLE, MS. NPPES has assigned the NPI number 1174369540 to RONALD REVERE, JR. on July 05, 2024. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246QL0900X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Pathology, specializing in Laboratory Management

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RONALD REVERE, JR. below.

NPI Profile for
RONALD T. REVERE, JR.

NPI Number
1174369540
Enumeration Date

(about 2 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RONALD T. REVERE, JR.
Credentials
TRAINING
Primary location
2341 HIGHWAY 1 S
GREENVILLE, MS 38701-8337
Phone: (833) 613-7333 Fax:
Mailing address
1100 CLOVERDALE DR
GREENVILLE, MS 38701-8301
Phone: (504) 344-4952 Fax:
Sole Proprietor
No
Updated
Certification Date
Jul 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246QL0900X
- Specialist/Technologist, Pathology / Laboratory Management (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.