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SHANNON RILEY, VICE PRESIDENT OF OP – NPI #1013664796
Laboratory Management

NPI Profile for SHANNON RILEY in ORMOND BEACH, FL.

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Contact Information

SHANNON RILEY, VICE PRESIDENT OF OP
570 MEMORIAL CIR STE 110
ORMOND BEACH, FL  32174-5063
 Phone: 386-951-5571
 Fax: 386-287-5776
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Laboratory Management

 246QL0900X
Indicates primary specialty

NPI Profile & details for SHANNON RILEY · (Female)

NPI # 1013664796
Status Active
Credentials VICE PRESIDENT OF OP
Entity Individual
Enumeration date 03/03/2022
Last updated 03/03/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL Other 10D2251415 CLIA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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