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Randall A. Ichihana
Physiological Laboratory in San Rafael, California
NPI 1568455152

Randall A. Ichihana is a Physiological Laboratory based in San Rafael, CA. Randall A. Ichihana practices in San Rafael, CA. The NPI Number for Randall A. Ichihana is 1568455152 and holds a License No. (California).

The current practice location address for Randall A. Ichihana is 1050 Northgate Dr, San Rafael, CA and can be reached out via phone at 415-925-1626 and via fax at 415-925-1826.

Location: 1050 Northgate Dr, San Rafael, CA, 94912-1201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568455152
Provider Name
Randall A. Ichihana
Credential
Provider Entity Type
Organization
Address
1050 Northgate Dr, San Rafael, CA, 94912-1201
Phone Number
415-925-1626
Fax Number
415-925-1826
Provider Enumeration Date
08/29/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1050 Northgate Dr
City
San Rafael
State
California
Zip
94903-2526
Phone Number
415-925-1626
Fax Number
415-925-1826
person
Provider Business Mailing Address Details
Address
1050 Northgate Dr
City
San Rafael
State
California
Zip
94903-2526
Phone Number
415-925-1626
Fax Number
415-925-1826
person
Provider's Taxonomy Details 1
Type
Laboratories
Classification
Physiological Laboratory
Speciality
-
Taxonomy
293D00000X
License No.
(California)
Definition
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.
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