# MARIN MEDICAL LABORATORIES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARIN MEDICAL LABORATORIES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356061477
- **Legal business name:** MARIN MEDICAL LABORATORIES
- **Authorized official:** DR. KEDAR CHE PRASAD MD (PATHOLOGIST/PARTNER)
- **Authorized official phone:** (415) 925-7174

## Contact information

- **Practice address:** 2700 DOLBEER ST, EUREKA, CA 95501-4736
- **Practice address phone:** (707) 445-8121
- **Practice address fax:** (415) 898-0870
- **Mailing address:** 1615 HILL RD STE B, NOVATO, CA 94947-4338
- **Mailing address phone:** (415) 209-6983
- **Mailing address fax:** (415) 898-0870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2022
- **Last updated:** 01/12/2023