MARIN MEDICAL LABORATORIES (NPI# 1346532314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346532314 |
| Entity Type | Organization |
| Organization Name | MARIN MEDICAL LABORATORIES |
| Practice Address |
347 Andrieux St Sonoma CA 95476-6811 |
| Mailing Address |
1615 Hill Rd Ste B Novato CA 94947-4338 |
| Practice Telephone | 7079355185 |
| Practice Fax Number | 7079355437 |
| Mailing Telephone | 4158987649 |
| Mailing Fax Number | 4158980870 |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2011-05-10 |
| 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 | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
CLF 1363 | CA | Allopathic & Osteopathic Physicians |
| 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 |
| 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 |
| 1013025634 | Marin Medical Laboratories | Nuclear Medicine | 250 Bon Air Road, Greenbrae, CA 94904 | 2006-08-25 |
| Street Address |
347 ANDRIEUX ST |
| City | SONOMA |
| State | CA |
| Zip Code | 95476-6811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871587469 | Ralph T. Mitarai, M.d., Professional Corporation | Pathology | 347 Andrieux St, Sonoma, CA 95476-6811 | 2005-09-09 |
| 1700496577 | Eric Joseph Hummel | Respiratory Therapist, Certified | 347 Andrieux St, Sonoma, CA 95476-6863 | 2020-08-05 |
| 1558904920 | Mai Shimada M.d. Inc | Emergency Medicine | 347 Andrieux St, Sonoma, CA 95476-6811 | 2019-10-17 |
| 1215593140 | Sv Hospitalist Medical Group Inc | Hospitalist | 347 Andrieux St, Sonoma, CA 95476-6811 | 2019-05-16 |
| 1619447158 | Beau Renaud | Physical Therapist | 347 Andrieux St, Sonoma, CA 95476-6811 | 2018-11-27 |
| 1447746953 | Nicole Miller | Dietitian, Registered | 347 Andrieux St, Sonoma, CA 95476-6811 | 2018-07-09 |
| 1144733023 | Angela Cuento Marian | Physical Therapist | 347 Andrieux St, Sonoma, CA 95476-6811 | 2017-11-14 |
| 1215466552 | Nancy Large | Pharmacist | 347 Andrieux St, Sonoma, CA 95476-6811 | 2017-06-09 |
| 1205256443 | Marek Romuald Grzybowski | Physical Therapist | 347 Andrieux St, Sonoma, CA 95476-6811 | 2014-04-25 |
| 1396093548 | Sound Inpatient Physicians Medical Group, Inc | Family Medicine | 347 Andrieux St, Sonoma, CA 95476-6811 | 2012-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790325694 | Pacific Forensic Psychology Associates, Inc | Psychologist | 19230 Sonoma Highway, Building 200, Sonoma, CA 95476 | 2020-01-09 |
| 1003315169 | Kevin Mccarthy | Occupational Therapist | 19312 Sonoma Hwy, Ste B Sonoma, Sonoma, CA 95476 | 2018-02-05 |
| 1558895318 | Christy Murphy | Pharmacist | 19205 Sonoma Hwy, Sonoma, CA 95476 | 2017-04-18 |
| 1003355835 | Eric Wilson Garcia | Physical Therapist | 1331 Medical Center Dr, Rohnert Park, CA 95476 | 2017-02-13 |
| 1952759664 | Imgrx Sonoma Inc | Pharmacy | 19270 Sonoma Hwy, Suite A, Sonoma, CA 95476 | 2016-06-03 |
| 1790039121 | Joslyn Metzger | Social Worker | 10270 Sonoma Highway, Sonoma, CA 95476 | 2012-11-07 |
| 1477853182 | Marcy Swiatek Brandner | Counselor | 19343 Sonoma Highway, Sonoma, CA 95476 | 2010-10-27 |
| 1477784890 | Peter G. Meyerhof | Dentist | 684 W. Napa St., Sonoma, CA 95476 | 2009-08-03 |
| 1467692855 | Rebeca Fiske Bailey | Psychologist | 793 First St West, Sonoma, CA 95476 | 2009-02-25 |
| 1306099056 | Hubenette Dental Corporation | Dentist | 660 Third Street West, Sonoma, CA 95476 | 2008-10-28 |
| Find all providers in zip 95476 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871587469 | Ralph T. Mitarai, M.d., Professional Corporation | Pathology | 347 Andrieux St, Sonoma, CA 95476-6811 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063058170 | Paragon Diagnostics San Francisco | Pathology | 900 Hyde St Fl 1, San Francisco, CA 94109-4806 | 2019-11-24 |
| 1669034518 | Diagnostic Pathology Medical Group Inc | Pathology | 2801 K St Ste 235, Sacramento, CA 95816-5170 | 2019-07-01 |
| 1093277956 | Shajia Rahman Ansari | Pathology | 38558 Vancouver Cmn, Fremont, CA 94536-4056 | 2019-04-01 |
| 1831655158 | Rana Richeh | Pathology | 12 Spectrum Pointe Dr, Lake Forest, CA 92630-2242 | 2019-02-11 |
| 1710457510 | University of California Sfgh Medical Group | Pathology | 1001 Potrero Ave Rm 2m14, San Francisco, CA 94110-3518 | 2018-12-05 |
| 1770053233 | Samuel Jason Guzman | Pathology | 10026 Karmont Ave, South Gate, CA 90280-5417 | 2018-11-27 |
| 1144799750 | Penguin Medical Group, Inc | Pathology | 11 W Del Mar Blvd Ste 201, Pasadena, CA 91105-2593 | 2018-11-13 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
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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.