MARIN GENERAL HOSPITAL PATH DEPT.
NPI 1053417386
Pathology - Anatomic Pathology & Clinical Pathology in Greenbrae, CA
NPI Status: Active since September 15, 2006
Contact Information
250 BON AIR ROAD
GREENBRAE, CA
ZIP 94904
Phone: (415) 925-7174
Fax: (415) 461-7228
- Organization
- Pathology
- Anatomic Pathology & Clinical Pathology
- CLIA Number: 05D0604317
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-27-2027
About MARIN GENERAL HOSPITAL PATH DEPT.
This page provides the complete NPI Profile along with additional information for Marin General Hospital Path Dept., a provider established in Greenbrae, California operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1053417386 assigned on September 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number CLF787 (CA). The provider is registered as an organization and their NPI record was last updated 4 years ago. Marin General Hospital Path Dept. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Marin General Hospital Path Dept.. The authorized official of this NPI record is Dr. Paul William Wasserstein Md (Managing Partner)
- NPI
- 1053417386
- Provider Legal Name
- MARIN MEDICAL LABORATORIES
- Other Organization Name
- MARIN GENERAL HOSPITAL PATH DEPT.
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 250 BON AIR ROAD GREENBRAE, CA 94904
- Location Phone
- (415) 925-7174
- Location Fax
- (415) 461-7228
- Mailing Address
- 1615 HILL RD STE B NOVATO, CA 94947
- Mailing Phone
- (415) 898-7649
- Mailing Fax
- (415) 461-7228
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-15-2006
- Last Update Date
- 08-11-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pathology Anatomic Pathology & Clinical Pathology
- Taxonomy Code
- 207ZP0102X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- CLF787
- License State
- CA
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0014390 | MEDICAID (05) | CA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0604317
- Facility Type
- Hospital
- Certificate Effective Date
- February 28, 2025
- Certificate Expiration Date
- February 27, 2027
- Laboratory Director
- DR. KEDAR C. PRASAD
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Marin General Hospital Path Dept. on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053417386, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
GREENBRAE, CA 94904
GREENBRAE, CA 94904
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053417386, enumerated as an "organization" on September 15, 2006.
The provider is located at 250 BON AIR ROAD GREENBRAE, CA 94904 and the phone number is (415) 925-7174.
Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
