Revive Ink Studio, LLC
Specialist/Technologist, Other in Madison, AL. Organization (NPI-2).
NPI number1306758586
StatusActive
Last updated in NPPESSep 21, 2026
Details
- NPI
- 1306758586
- Entity type
- Organization (NPI-2)
- Legal business name
- Revive Ink Studio, LLC
- Organization subpart
- No
- Enumeration date
- Sep 21, 2026
- Certification date
- Sep 21, 2026
- Last updated
- Sep 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246Z00000X | Specialist/Technologist, Other | – | – | Yes |
Practice location
12205 County Line Rd Ste FMadison, AL 35758-7720
Phone 256-400-0771
Mailing address
209 Wilson Hall DrMadison, AL 35757-8701
Phone 256-400-0771
Authorized official
Erika Lynn John
Owner
9049070143
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Other Specialist/Technologist providers in Madison, AL
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.