MARIN MEDICAL LABORATORIES (NPI# 1720393838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720393838 |
| Entity Type | Organization |
| Organization Name | MARIN MEDICAL LABORATORIES |
| Practice Address |
3325 Chanate Rd Santa Rosa CA 95404-1707 |
| Mailing Address |
1615 Hill Rd Ste B Novato CA 94947-4338 |
| Practice Telephone | 7075764030 |
| Practice Fax Number | 7075764039 |
| Mailing Telephone | 4158987649 |
| Mailing Fax Number | 4158980870 |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |
| Authorized Official Name | DR. PAUL WILLIAM WASSERSTEIN (MANAGING PARTNER) |
| Authorized Official Telephone | 4159257174 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
CLF 339 | 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 |
| 1346532314 | Marin Medical Laboratories | Pathology | 347 Andrieux St, Sonoma, CA 95476-6811 | 2011-05-10 |
| 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 |
3325 CHANATE RD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629056130 | Daniel Steven Calder | Emergency Medicine | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 | 2006-01-04 |
| 1497059885 | Lilian Siguenza Lao | Internal Medicine | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 | 2010-12-29 |
| 1174778633 | Kimberly Anne Hartman | Physical Therapist | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 | 2008-11-25 |
| 1336397744 | Mary E Carroll-ambrose | Nurse Practitioner | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 | 2008-08-28 |
| 1073791505 | Palmaris Imaging of California Inc | Radiology | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 | 2008-02-06 |
| 1861674715 | Inpatient Consultants of California, Inc. | Internal Medicine | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 | 2007-12-03 |
| 1730368051 | Daniel James Thomas | Physical Therapist | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 | 2007-11-02 |
| 1962681940 | Thomas Perry Blechel | Physical Therapist | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 | 2007-10-26 |
| 1619166121 | Paul Alan Doemeny | Radiology | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 | 2007-10-21 |
| 1477748929 | Eileen M Carol | Nurse Practitioner | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 | 2007-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| 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 |
|---|---|---|---|---|
| 1245276161 | Joseph Stephen Wand | Pathology | 3715 Nielsen Rd, Santa Rosa, CA 95404-1723 | 2006-06-20 |
| 1467846766 | Daniel Graham | Pathology | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2015-03-24 |
| 1326444647 | Marin Medical Laboratories | Pathology | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2014-11-13 |
| 1922360627 | Wanhua Yang | Pathology | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2012-06-09 |
| 1679520464 | Wilber & Associates | Pathology | 1165 Montgomery Dr, Pathology Department, Santa Rosa, CA 95405-4801 | 2006-05-28 |
| 1447208921 | Mark Demeo | Pathology | 1165 Montgomery Dr, Pathology Dept, Santa Rosa, CA 95405-4801 | 2006-05-05 |
| 1144287509 | John Wolfe | Pathology | 1165 Montgomery Dr, Pathology Dept, Santa Rosa, CA 95405-4801 | 2006-04-28 |
| 1932166394 | Richard Wilber | Pathology | 1165 Montgomery Dr, Pathology Dept, Santa Rosa, CA 95405-4801 | 2006-04-28 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
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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.