Shani Re LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SHANI RE LLC

Practice address

525 Randall Ave
Cheyenne, WY 82001

Phone

(307) 201-3715

NPI assigned

Mar 7, 2025

Last updated

Mar 12, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Irfan Nawaz, DIRECTOR

Title

Director/Owner

Phone

(307) 201-3715

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1205634847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 RANDALL AVE STE 100",
            "address_2": "PMB266",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820012772",
            "telephone_number": "307-201-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 RANDALL AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "82001",
            "telephone_number": "307-201-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANI RE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "NAWAZ",
        "authorized_official_first_name": "IRFAN",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "307-201-3715",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Sexton
• Brook Adrienne Shafer
• Reed Clifton Shafer, MD
• Kirk Thomas Shamley, MD
• Shahrzad Shamlou, PHARMD
• Michael J Shannon, MD
• Laura A Sharif, LPC
• Mary Helen Sharp, RPH
• Philip Marion Sharp, MD
• Amy Scott Shaw, PA

• Clinical Medical Laboratory in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Clinical Medical Laboratory in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.