Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tanisha Shuante Riles

Individual provider Clinical Medical Laboratory · NPI 1124995147

Tanisha Shuante Riles is a Clinical Medical Laboratory in Nicholls, Georgia. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

702 Van Streat Hwy
Nicholls, GA 31554-4017
Phone: (912) 501-4094
Fax: (708) 367-6703
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1124995147
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 22, 2025
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

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