Individual provider Active NPI

Marvin Tyrrell Finch

  • Phlebotomy Technician
  • Oakland, CA
National Provider Identifier
1417824145
Registry record updated Oct 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
CPT00065338 Issued in CA
Practice address
337 13TH St Ste 203
Oakland, CA 94612-3951
Phone
(510) 481-0908
Fax
(510) 616-4126
NPI assigned
Oct 18, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X CPT00065338 CA Primary

Addresses

Primary practice location

337 13TH St Ste 203
Oakland, CA 94612-3951

Mailing address

4645 Springlake Dr
San Leandro, CA 94578-4834
Phone (510) 703-4840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CPT00065338CAMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Testing Labs LLC Phlebotomy CurrentSince Oct 21, 2025 Accepting new patients

Locations

337 13th St
Ste 203
Oakland, CA 94612
Phone (510) 481-0908

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760745600000",
    "number": "1417824145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 SPRINGLAKE DR",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945784834",
            "telephone_number": "510-703-4840",
            "fax_number": "510-616-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 13TH ST STE 203",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123951",
            "telephone_number": "510-481-0908",
            "fax_number": "510-616-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINCH",
        "first_name": "MARVIN",
        "middle_name": "TYRRELL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-18",
        "last_updated": "2025-10-18",
        "certification_date": "2025-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "CA",
            "license": "CPT00065338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.