MARIN MEDICAL LABORATORIES (NPI# 1336245653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336245653 |
| Entity Type | Organization |
| Organization Name | MARIN MEDICAL LABORATORIES |
| Other Organization Name | MARIN MEDICAL LAB NOVATO COMM HOSP |
| Practice Address |
180 Rowland Way Novato CA 94947 |
| Mailing Address |
1615 Hill Rd Suite B Novato CA 94947 |
| Practice Telephone | 4159257174 |
| Practice Fax Number | 4154617228 |
| Mailing Telephone | 4158987649 |
| Mailing Fax Number | 4158980870 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-11-08 |
| 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 |
|---|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
CLF947 | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LAB00787F | 05 |
| Other Name | Type Code |
|---|---|
| Marin Medical Lab Novato Comm Hosp | 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 |
| 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 |
180 ROWLAND WAY |
| City | NOVATO |
| State | CA |
| Zip Code | 94947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225011422 | Richard Bodony | Emergency Medicine | 180 Rowland Way, Novato, CA 94945-5009 | 2005-11-22 |
| 1124577259 | Cep America - California | Emergency Medicine | 180 Rowland Way, Novato, CA 94945-5009 | 2016-09-30 |
| 1053766493 | Jacob R Adams Do Inc | Internal Medicine | 180 Rowland Way, Novato, CA 94945-5009 | 2016-05-03 |
| 1457744120 | California Pacific Pathology Medical Group | Pathology | 180 Rowland Way, Novato, CA 94945-5009 | 2015-03-05 |
| 1518253012 | Crystal Chang | Radiology | 180 Rowland Way, Novato, CA 94945-5009 | 2011-06-22 |
| 1285924290 | Ari Kane | Radiology | 180 Rowland Way, Novato, CA 94945-5009 | 2011-04-11 |
| 1740590306 | North Bay Hospital Medicine Group, Inc. | Internal Medicine | 180 Rowland Way, Novato, CA 94945-5009 | 2010-10-18 |
| 1104059153 | Sutter Bay Hospitals | General Acute Care Hospital | 180 Rowland Way, Novato, CA 94945-5009 | 2009-08-25 |
| 1558595090 | Jacob Richard Adams | Internal Medicine | 180 Rowland Way, Novato, CA 94945-5009 | 2009-05-12 |
| 1679731228 | Nichole Desmond | Dietitian, Registered | 180 Rowland Way, Novato, CA 94945-5009 | 2008-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407135882 | Rainey Sealey Temkin | Psychologist | 1682 Novato Blvd Ste 105, Novato, CA 94947 | 2011-08-16 |
| 1801192786 | Barbara Jean Gosselin | Marriage & Family Therapist | 1748 Novato Blvd Suite 210, Novato, CA 94947 | 2011-02-10 |
| 1659681377 | Karen Ann Murphy | Occupational Therapist | 27 Stasia Dr., Novato, CA 94947 | 2010-10-15 |
| 1154659415 | Christopher Michael Hackett | Chiropractor | 1559 South Novato Blvd., Suite E, Novato, CA 94947 | 2009-11-25 |
| 1003068305 | Suttinee Saguandeekul | Pharmacist | 910 Diablo Ave, Novato, CA 94947 | 2008-10-17 |
| 1891983581 | Shital Gandhi | Radiology | 500 Redwood Blvd Ste 300, Novato, CA 94947 | 2007-10-09 |
| 1356544126 | Victoria Elizabeth Herzog | Marriage & Family Therapist | 1682 Novato Blvd, Suite 250a, Novato, CA 94947 | 2007-06-07 |
| 1912047655 | Michael Craig Corder | Chiropractor | 1553 S Novato Blvd, A2 Corder Chiropractic Office, Novato, CA 94947 | 2007-02-08 |
| 1427106905 | Jacob Kyle Leone | Naturopath | 1748 Novato Blvd, Suite 100, Novato, CA 94947 | 2007-01-08 |
| 1881756401 | Mental Health Management I, Inc. | Psychiatric Residential Treatment Facility | 655 Canyon Road, Novato, CA 94947 | 2006-12-14 |
| Find all providers in zip 94947 | ||||
| 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 |
|---|---|---|---|---|
| 1144326471 | Marin Medical Laboratories | Pathology | 1615 Hill Road, Suite B, Novato, CA 94947 | 2006-09-15 |
| 1457744120 | California Pacific Pathology Medical Group | Pathology | 180 Rowland Way, Novato, CA 94945-5009 | 2015-03-05 |
| 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.