IndividualActive
Shannon Riley, VICE PRESIDENT OF OP
NPI 1013664796 · Laboratory Management Specialist/Technologist · Ormond Beach, FL
Provider details
- NPI number
- 1013664796
- Entity type
- Individual
- Primary specialty
- Laboratory Management Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- VICE PRESIDENT OF OP
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
570 Memorial Cir Ste 110
Ormond Beach, FL 32174-5063
Phone: (386) 951-5571
Fax: (386) 287-5776
Approximate (ZIP-level) locationGet directions
Mailing address
570 Memorial Cir Ste 110
Ormond Beach, FL 32174-5063
Registry dates
- Enumerated
- 2022-03-03
- Last updated
- 2022-03-03
- Certified
- 2022-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.