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DMEPOS
NPI 1124038633
Durable Medical Equipment & Medical Supplies in San Angelo, TX

Active since August 08, 2006CLIA Certified · 5 labs
120 E BEAUREGARD AVE, SAN ANGELO, TX 76903(325) 658-1511 Get Directions Write a Review

NPPES record last updated: January 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 21, 2020, Oct 24, 2018 (2 updates tracked since 2018).

About Dmepos NPPES

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

DMEPOS (NPI 1124038633) is a healthcare organization registered as a durable medical equipment & medical supplies in San Angelo, Texas and active in the NPI registry since August 2006. The organization holds 5 active CLIA laboratory certificates and lists Ricardo Villarreal, Cao, as its authorized official.

NPPES Registry Identity

NPI1124038633
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSHANNON CLINIC
Location Address120 E BEAUREGARD AVESan Angelo, TX 76903-5919
Mailing AddressPo Box 22000San Angelo, TX 76902-7200 · (325) 658-1511
Phone(325) 658-1511
Organization SubpartNo
Authorized OfficialRicardo VillarrealCao · (325) 481-8248
Enumeration DateAugust 8, 2006
Last NPPES UpdateJanuary 21, 20202 updates tracked since enumeration
✔ NPI 1124038633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
120 E BEAUREGARD AVE, San Angelo, TX 76903
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Other Names 1

Doing Business AsDmepos

Other Identifiers 1

Other1033840001TX · Dme Ptan

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D0943384

Shannon Clinic Urology · San Angelo, TX
Active · expires Mar 25, 2028
CLIA Number45D0943384
Laboratory TypePhysician Office
Certificate Effective DateMarch 26, 2026
Certificate Expiration DateMarch 25, 2028
Laboratory DirectorBradley D. Mciver
Laboratory Phone(325) 747-3154
Laboratory LocationShannon Clinic Urology120 East Beauregard, San Angelo, TX 76903
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 45D0943386

Shannon Clinic Pediatrics · San Angelo, TX
Active · expires Mar 25, 2028
CLIA Number45D0943386
Laboratory TypePhysician Office
Certificate Effective DateMarch 26, 2026
Certificate Expiration DateMarch 25, 2028
Laboratory DirectorKarl K. Wehner
Laboratory Phone(915) 658-1511
Laboratory LocationShannon Clinic Pediatrics225 East Beauregard, San Angelo, TX 76903
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 45D0961206

Shannon Clinic Pathology Laboratory · San Angelo, TX
Active · expires Feb 15, 2028
CLIA Number45D0961206
Laboratory TypePhysician Office
Certificate Effective DateFebruary 16, 2026
Certificate Expiration DateFebruary 15, 2028
Laboratory DirectorDr. Anthony C. Soldano
Laboratory Phone(325) 481-2157
Laboratory LocationShannon Clinic Pathology Laboratory220 E Harris Ave, Fourth Floor, San Angelo, TX 76903
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 45D0959234

Shannon Clinic Cardiology · San Angelo, TX
Active · expires Apr 5, 2027
CLIA Number45D0959234
Laboratory TypePhysician Office
Certificate Effective DateApril 6, 2025
Certificate Expiration DateApril 5, 2027
Laboratory DirectorDr. Rudy Haddad
Laboratory Phone(915) 658-1511
Laboratory LocationShannon Clinic Cardiology102 North Magdalen, San Angelo, TX 76903
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D0675070

Shannon Clinic Ob-Harris · San Angelo, TX
Active · expires Aug 31, 2026
CLIA Number45D0675070
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKelly Whitfield Wilson
Laboratory Phone(325) 747-2285
Laboratory LocationShannon Clinic Ob-Harris220 East Harris, San Angelo, TX 76903
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

MAEGIN M CARLILE FNP
Nurse Practitioner
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Tom Green County (325) 658-1511
IRVIN E. ZEITLER JR. DO
Family Medicine
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Tom Green County (325) 658-1511
DR. CHARLES E. GREESON M.D.
Dermatology
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Tom Green County (325) 658-1511
CHARLES M JONES MD
Internal Medicine
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Tom Green County (325) 481-2198
SCOTT WESTMORELAND DPM
Podiatrist
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Tom Green County (325) 658-1511
LINA M QUAN-ASTON PA
Physician Assistant
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Tom Green County (325) 658-1511
BRANDI L WHITEHEAD P.A.
Physician Assistant
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Tom Green County (325) 658-1511
AEMI TIEMO MD
Student in an Organized Health Care Education/Training Program
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Tom Green County (325) 747-4820

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 Clinic's NPI number?

The NPI number for Shannon Clinic is 1124038633. It was assigned to this organization in the NPPES registry on August 8, 2006. The provider is doing business as Dmepos.

Where is Shannon Clinic located?

Shannon Clinic is located at 120 E Beauregard Ave, San Angelo, TX 76903. The listed phone number is (325) 658-1511.

What is Shannon Clinic's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Shannon Clinic hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Shannon Clinic was last updated on January 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.