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Organization
MARIN MEDICAL LABORATORIES
Active
Organization
MARIN MEDICAL LABORATORIES
Active
Parent organization
MARIN MEDICAL LABORATORIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARIN MEDICAL LABORATORIES
Authorized official
DR. KEDAR CHE PRASAD MD (PATHOLOGIST/PARTNER)
(415) 925-7174
Entity
Organization
Contact information
Practice address
2700 DOLBEER ST, EUREKA, CA 95501-4736
(707) 445-8121
(415) 898-0870
Mailing address
1615 HILL RD STE B, NOVATO, CA 94947-4338
(415) 209-6983
(415) 898-0870
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
01/12/2023
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