CASTLE MEDICAL, LLC (NPI# 1588061154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588061154 |
| Entity Type | Organization |
| Organization Name | CASTLE MEDICAL, LLC |
| Practice Address |
523 4th St Suite 110 San Rafael CA 94901-3310 |
| Mailing Address |
5700 Highlands Pkwy Se Suite 100 Smyrna GA 30082-5142 |
| Practice Telephone | 6784867240 |
| Practice Fax Number | 6784867250 |
| Mailing Telephone | 6784867340 |
| Mailing Fax Number | 6784867250 |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-12-02 |
| Authorized Official Name | SCOTT DAMRON (OWNER) |
| Authorized Official Telephone | 6784867340 |
| Is Organization Subpart | Y |
| Parent Organization Name | CASTLE MEDICAL, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | CA | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669879292 | Castle Medical, LLC | Clinical Medical Laboratory | 1401 B Providence Park, Suite 1406-1407, Birmingham, AL 35242 | 2014-11-25 |
| 1235431289 | Castle Medical, LLC | Clinical Medical Laboratory | 5700 Highlands Pkwy Se, Suite 100, Smyrna, GA 30082-5142 | 2010-11-24 |
| 1679970248 | Castle Medical, LLC | Clinical Medical Laboratory | 5700 Highlands Pkwy Se, Suite 100, Smyrna, GA 30082-5142 | 2014-11-26 |
| 1891191953 | Castle Medical, LLC | Clinical Medical Laboratory | 3705 W Memorial Rd, Suite 1406-1407, Oklahoma City, OK 73134-1512 | 2014-11-17 |
| 1407259468 | Castle Medical, LLC | Clinical Medical Laboratory | 7515 Main St, Suite 340, Houston, TX 77030-4519 | 2014-10-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | CASTLE MEDICAL, LLC | 5700 Highlands Pkwy Ste 100, Smyrna, GA 30082 |
| Street Address |
523 4TH ST SUITE 110 |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063731057 | Lynne Martin | Dietitian, Registered | 523 4th St, Suite 100, San Rafael, CA 94901-3310 | 2010-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053507442 | Northern California Uropathology PC | Clinical Medical Laboratory | 802 B St, San Rafael, CA 94901-3026 | 2007-09-19 |
| 1053433870 | Planned Parenthood Golden Gate-san Rafael Lab | Clinical Medical Laboratory | 2 H St, San Rafael, CA 94901-1700 | 2007-04-04 |
| 1659448074 | County of Marin | Clinical Medical Laboratory | 920 Grand Ave, San Rafael, CA 94901-3506 | 2006-11-29 |
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| 1083212351 | Telomere Diagnostics, Inc. | Clinical Medical Laboratory | 2688 Middlefield Rd Ste A, Redwood City, CA 94063-3483 | 2020-10-09 |
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| 1366049447 | Sts Lab 1 LLC | Clinical Medical Laboratory | 2302 Trade Zone Blvd Rm 100, San Jose, CA 95131-1819 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
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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.