OrganizationActive
Shannon Clinic Reference Lab
NPI 1114119385 · Clinical Medical Laboratory · San Angelo, TX
Shannon Clinic Reference Lab is a Clinical Medical Laboratory organization in San Angelo, TX (NPI 1114119385).
Provider details
- NPI number
- 1114119385
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Ricardo Villarreal, Cao(325) 481-8248
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
120 E Beauregard Ave
San Angelo, TX 76903-5919
Phone: (325) 658-1511
Street-level locationGet directions
Mailing address
Po Box 22000
San Angelo, TX 76902-7200
Registry dates
- Enumerated
- 2007-08-13
- Last updated
- 2020-01-21
- Certified
- 2020-01-21
Frequently asked questions
- What is Shannon Clinic Reference Lab's NPI number?
- Shannon Clinic Reference Lab's National Provider Identifier (NPI) is 1114119385, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shannon Clinic Reference Lab?
- Shannon Clinic Reference Lab is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Shannon Clinic Reference Lab located?
- Shannon Clinic Reference Lab's practice location on file with NPPES is 120 E Beauregard Ave, San Angelo, TX 76903-5919.
- What is Shannon Clinic Reference Lab's phone number?
- The practice phone number listed in the NPPES registry for Shannon Clinic Reference Lab is (325) 658-1511.
- Who is the authorized official for Shannon Clinic Reference Lab?
- The authorized official listed on Shannon Clinic Reference Lab's NPPES record is Ricardo Villarreal, Cao. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shannon Clinic Reference Lab's NPI active?
- Yes — Shannon Clinic Reference Lab's NPI (1114119385) is active in the NPPES registry as of the last update on 2020-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.