Organization
MARIN MEDICAL LABORATORIES
Active
Other names
Marin Medical Laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL WILLIAM WASSERSTEIN MD (MANAGING PARTNER)
(415) 925-7174
Entity
Organization
Contact information
Practice address
1615 HILL ROAD, SUITE B, NOVATO, CA 94947
(415) 898-7649
(415) 898-0870
Mailing address
1615 HILL ROAD, SUITE B, NOVATO, CA 94947
(415) 898-7649
(415) 898-0870
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
CLF789
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0663150
CLIA
—
01
—
CLF789
STATE LICENSE
—
05
—
LAB63150F
—
CA
Enumeration date
09/15/2006
Last updated
10/23/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us