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RANDALL A. ICHIHANA NPI 1568455152


NPI Information

NPI: 1568455152
Provider Name: RANDALL A. ICHIHANA

Doing Business As: MARIN PULMONARY SERVICE

Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization
Address:
1050 NORTHGATE DR
SUITE 250 A
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 925-1626
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RANDALL A. ICHIHANA is a physiological laboratory in San Rafael, CA. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. RANDALL A. ICHIHANA NPI is 1568455152. The provider is registered as an organization entity type.
The provider Is Doing Business As Marin Pulmonary Service.

The provider's business location address is:

1050 NORTHGATE DR
SUITE 250 A
SAN RAFAEL, CA
ZIP 94903-526
Phone: (415) 925-1626
Fax: (415) 925-1826

The provider's authorized official is Randall Akira Ichihana .
The authorized official title is Owner and has the following contact phone number (415) 925-1626.

The enumeration date for this NPI number is 8/29/2005 and was last updated on 10/4/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1293D00000XPhysiological LaboratoryCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ16052ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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