Organization · Type 2 NPI

Randall A. Ichihana

Physiological Laboratory · San Rafael, CA

NPI number 1568455152 Active

Practice location

1050 Northgate Dr, Suite 250 A
San Rafael, CA 94903-2526

Call (415) 925-1626 Map

Fax (415) 925-1826

Mailing address

PO Box 11201
San Rafael, CA 94912-1201

Specialties and licenses

Taxonomy	Code	License
Physiological Laboratory Primary	293D00000X	None listed

Physiological Laboratory: 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 labora…

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About NPI 1568455152

Randall A. Ichihana's National Provider Identifier is 1568455152, issued on Aug 29, 2005. The primary taxonomy on file is Physiological Laboratory (293D00000X), and the practice location is in San Rafael, CA. The record was last updated on Oct 4, 2012.