MARIN MEDICAL LABORATORIES (NPI# 1013025634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013025634 |
| Entity Type | Organization |
| Organization Name | MARIN MEDICAL LABORATORIES |
| Other Organization Name | MARIN GENERAL HOSPITAL NUCLEAR MED |
| Practice Address |
250 Bon Air Road Greenbrae CA 94904 |
| Mailing Address |
1615 Hill Road Suite B Novato CA 94947 |
| Practice Telephone | 4159257174 |
| Practice Fax Number | 4154617228 |
| Mailing Telephone | 4158987649 |
| Mailing Fax Number | 4158980870 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-10-23 |
| Authorized Official Name | DR. PAUL WILLIAM WASSERSTEIN (MANAGING PARTNER) |
| Authorized Official Telephone | 4159257174 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207U00000X | Nuclear Medicine | CLIA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LAB00787F | 05 |
| Other Name | Type Code |
|---|---|
| Marin General Hospital Nuclear Med | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144326471 | Marin Medical Laboratories | Pathology | 1615 Hill Road, Suite B, Novato, CA 94947 | 2006-09-15 |
| 1962504977 | Marin Medical Laboratories | Radiology | 1300 South Eliseo Drive, Suite 102, Greenbrae, CA 94904 | 2006-09-01 |
| 1326444647 | Marin Medical Laboratories | Pathology | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2014-11-13 |
| 1346532314 | Marin Medical Laboratories | Pathology | 347 Andrieux St, Sonoma, CA 95476-6811 | 2011-05-10 |
| 1720393838 | Marin Medical Laboratories | Pathology | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 | 2010-08-12 |
| 1447356811 | Marin Medical Laboratories | Pathology | 250 Bon Air Road, Greenbrae, CA 94904 | 2006-09-15 |
| 1336245653 | Marin Medical Laboratories | Nuclear Medicine | 180 Rowland Way, Novato, CA 94947 | 2006-09-15 |
| 1053417386 | Marin Medical Laboratories | Pathology | 250 Bon Air Road, Greenbrae, CA 94904 | 2006-09-15 |
| Street Address |
250 BON AIR ROAD |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558479105 | Robert Cohen | Nuclear Medicine | 250 Bon Air Road, Greenbrae, CA 94904 | 2006-08-25 |
| 1467700245 | Sound Inpatient Physicians Medical Group, Inc. | Family Medicine | 250 Bon Air Road, Greenbrae, CA 94904 | 2012-08-27 |
| 1891999439 | Elsa O Ng | Marriage & Family Therapist | 250 Bon Air Road, Greenbrae, CA 94904 | 2007-06-14 |
| 1518173400 | Elizabeth Claire Nadiv | Pediatrics | 250 Bon Air Road, M691, Greenbrae, CA 94904 | 2007-05-15 |
| 1881746568 | Alexandra Beatriz Siliezar | Marriage & Family Therapist | 250 Bon Air Road, Greenbrae, CA 94904 | 2007-01-16 |
| 1871685578 | Susan Sun | Internal Medicine | 250 Bon Air Road, Greenbrae, CA 94984 | 2006-09-29 |
| 1447356811 | Marin Medical Laboratories | Pathology | 250 Bon Air Road, Greenbrae, CA 94904 | 2006-09-15 |
| 1053417386 | Marin Medical Laboratories | Pathology | 250 Bon Air Road, Greenbrae, CA 94904 | 2006-09-15 |
| 1619085263 | Imok Cha | Pathology | 250 Bon Air Road, Greenbrae, CA 94904 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 207U00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Nuclear Medicine, 2007. http://www.abnm.org/. A doctor of osteopathy was able to obtain a Certificate of Added Qualifications in the field of Nuclear Medicine. The Certificate is NO longer offered. - American Osteopathic Board of Nuclear Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558479105 | Robert Cohen | Nuclear Medicine | 250 Bon Air Road, Greenbrae, CA 94904 | 2006-08-25 |
| 1467560094 | Paul William Wasserstein | Nuclear Medicine | 250 Bon Air Rd, Greenbrae, CA 94904 | 2006-08-25 |
| 1245348861 | Frederick Joseph Kretzschmar | Nuclear Medicine | 250 Bon Air Rd, Greenbrae, CA 94904 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255950655 | Walter Mcmillan | Nuclear Medicine | 3740 Santa Rosalia Dr Apt 308, Los Angeles, CA 90008-3624 | 2020-04-15 |
| 1629441563 | David Marshall Shames | Nuclear Medicine | 2737 Claremont Blvd, Berkeley, CA 94705-1321 | 2015-10-31 |
| 1073915831 | Edward W. Tam | Nuclear Medicine | 810 Hallmark Dr, Redding, CA 96001-0151 | 2014-09-23 |
| 1619389665 | Robbie Kaveh Sooriash | Nuclear Medicine | 25856 Bellis Dr, Valencia, CA 91355-2054 | 2014-05-27 |
| 1417367079 | Mark S. Bettermon | Nuclear Medicine | 22233 Village 22, Camarillo, CA 93012 | 2014-05-05 |
| 1598104101 | Merlin Stanley Puterbaugh | Nuclear Medicine | 480 Lassen St, # 1, Los Altos, CA 94022-3986 | 2013-06-17 |
| 1104269729 | Shadfar Bahri | Nuclear Medicine | 200 Medical Plaza Suite B114, Los Angeles, CA 90095-5201 | 2013-04-12 |
| 1336404599 | John Richard White | Nuclear Medicine | 4400 Palos Verdes Dr E, Rancho Palos Verdes, CA 90275-6474 | 2012-07-12 |
| 1144506395 | Ella Yevdayev | Nuclear Medicine | 4510 E Pacific Coast Ste 320, Long Beach, CA 90804-6926 | 2011-11-01 |
| 1154602480 | Haluk Alibazoglu | Nuclear Medicine | 5536 Renaissance Ave, Unit No 3, San Diego, CA 92122-5673 | 2011-08-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.