Organization
SHANI RE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRFAN NAWAZ DIRECTOR (DIRECTOR/OWNER)
(307) 201-3715
Entity
Organization
Contact information
Practice address
525 RANDALL AVE, CHEYENNE, WY 82001
(307) 201-3715
Mailing address
525 RANDALL AVE STE 100, PMB266, CHEYENNE, WY 82001-2772
(307) 201-3715
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
03/12/2025
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