Shannon Clinic Reference Lab in San Angelo - Clinical Medical Laboratory
Shannon Clinic Reference Lab - NPI 1114119385
Shannon Clinic Reference Lab is a Clinical Medical Laboratory in San Angelo, Texas. Shannon Clinic Reference Lab practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Shannon Clinic Reference Lab is 1114119385. The last update date is 2020-01-21.
Shannon Clinic Reference Lab's current location address is Po Box 22000, San Angelo, Texas. You can contact this provider via phone number 3256581511. The mailing address for Shannon Clinic Reference Lab is Po Box 22000, San Angelo, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shannon Clinic Reference Lab |
|---|---|
| Address | Po Box 22000, San Angelo, Texas |
| Phone Number | 3256581511 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CAO |
|---|---|
| Authorized Official Name | Villarreal Ricardo |
| Telephone Number | 3254818248 |
NPI Number Detail
| NPI Number | 1114119385 |
|---|---|
| Provider Enumeration Date | 2007-08-13 |
| Last Updated Date | 2020-01-21 |
Provider Mailing Address Detail
| Address | Po Box 22000 |
|---|---|
| City | San Angelo |
| State | Texas (TX) |
| Post Code | 769027200 |
| Phone Number | 3256581511 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
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Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 127005001 | TX | -- |
Post Comment/ Review Below
What is the Shannon Clinic Reference Lab's unique identification number?
The Shannon Clinic Reference Lab has been assigned the NPI (National Provider Identifier) Number 1114119385 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Shannon Clinic Reference Lab is geographically located?
The Shannon Clinic Reference Lab is physically situated at the following location: Po Box 22000, San Angelo, TX, 769027200.
What is Shannon Clinic Reference Lab's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shannon Clinic Reference Lab is Clinical Medical Laboratory, and the taxonomy code that categorizes this field of expertise is 291U00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114119385 to Shannon Clinic Reference Lab?
The Shannon Clinic Reference Lab received its 1114119385 assignment from the Centers for Medicare & Medicaid Services on 2007-08-13.
When was the information pertaining to Shannon Clinic Reference Lab most recently updated or revised?
The details related to Shannon Clinic Reference Lab, including its address, specialty, and other relevant information, were last updated or revised on 2020-01-21.
NPI Number: 1972506228
Address: 2102 Treasure Hills Blvd Ste 3.14406, Harlingen, TX