Organization
MARIN MEDICAL LABORATORIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEDAR CHE PRASAD MD (PATHOLOGIST, PARTNER)
(415) 925-7174
Entity
Organization
Contact information
Practice address
2425 HARRISON AVE, EUREKA, CA 95501-3218
(707) 445-8121
(707) 269-3889
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
—
—
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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