MARIN GENERAL HOSPITAL PATH DEPT. – NPI #1053417386
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.

MARIN GENERAL HOSPITAL PATH DEPT. is a pathologist located in GREENBRAE, CA. NPPES has assigned the NPI number 1053417386 to MARIN GENERAL HOSPITAL PATH DEPT. on September 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MARIN GENERAL HOSPITAL PATH DEPT.” is a dba name, the actual legal business name for this organization is MARIN MEDICAL LABORATORIES. The primary taxonomy selected by this provider is 207ZP0102X from the Health Care Provider Taxonomy code set, which is classified as Pathology, specializing in Anatomic Pathology & Clinical Pathology

The NPI profile was previously updated about 4 years ago on Aug 11, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARIN GENERAL HOSPITAL PATH DEPT. below.

NPI Profile for
MARIN MEDICAL LABORATORIES

NPI Number
1053417386
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARIN MEDICAL LABORATORIES
Doing Business As (dba): MARIN GENERAL HOSPITAL PATH DEPT.
Primary location
250 BON AIR ROAD
GREENBRAE, CA 94904
Phone: (415) 925-7174 Fax: (415) 461-7228
Mailing address
1615 HILL RD STE B
NOVATO, CA 94947-4338
Phone: (415) 898-7649 Fax: (415) 898-0870
Organization Subpart
No
Authorized Official
PAUL WASSERSTEIN
MANAGING PARTNER
Phone: (415) 925-7174
Updated
Certification Date
Aug 11, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MARIN GENERAL HOSPITAL PATH DEPT.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAGR0014390
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ZP0102X
- Pathology / Anatomic Pathology & Clinical Pathology (Primary)
CA CLF787

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.