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SHANNON RILEY VICE PRESIDENT OF OP
NPI 1013664796
Specialist/Technologist, Pathology - Laboratory Management in Ormond Beach, FL

Active since March 03, 2022
570 MEMORIAL CIR STE 110, ORMOND BEACH, FL 32174(386) 951-5571(386) 287-5776 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Riley Vice President Of Op NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON RILEY VICE PRESIDENT OF OP (NPI 1013664796) is an individual laboratory management provider in Ormond Beach, Florida and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1013664796
Entity TypeIndividualFemale
Primary Taxonomy246QL0900X
Provider Legal NameSHANNON RILEYCredential: VICE PRESIDENT OF OP
Location Address570 MEMORIAL CIR STE 110Ormond Beach, FL 32174-5063
Mailing Address570 Memorial Cir Ste 110Ormond Beach, FL 32174-5063 · (386) 951-5571 · Fax (386) 287-5776
Phone(386) 951-5571
Fax(386) 287-5776
Sole ProprietorNo
Enumeration DateMarch 3, 2022
NPPES CertifiedMarch 3, 2022
✔ NPI 1013664796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Pathology · Laboratory ManagementTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246QL0900X
570 MEMORIAL CIR STE 110, Ormond Beach, FL 32174
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Other Identifiers 1

Other10D2251415FL · Clia

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN ZAK III PA INC
Internal Medicine (Gastroenterology)
570 MEMORIAL CIR STE 110
ORMOND BEACH, FL 32174
Flagler County (386) 437-5980
JOHN ZAK III M.D.
Internal Medicine (Gastroenterology)
570 MEMORIAL CIR STE 110
ORMOND BEACH, FL 32174
Flagler County (386) 437-5980
OPTIMUS LABS LLC
Technician, Pathology (Medical Laboratory)
570 MEMORIAL CIR STE 110
ORMOND BEACH, FL 32174
Flagler County (360) 434-0960

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Riley's NPI number?

The NPI number for Shannon Riley is 1013664796. It was assigned to this individual provider in the NPPES registry on March 3, 2022.

Where is Shannon Riley located?

Shannon Riley practices at 570 Memorial Cir Ste 110, Ormond Beach, FL 32174. The listed phone number is (386) 951-5571.

What is Shannon Riley's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Pathology, specializing in Laboratory Management, with taxonomy code 246QL0900X.

When was this NPI record last updated?

The NPPES record for Shannon Riley was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.