Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Wayne Randolph Smith, HT

Individual provider Histology Technician · NPI 1437644689

Mr. Wayne Randolph Smith, HT is a Histology Technician in Novato, California. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018

Practice location Address checks out

1615 Hill Rd Ste C
Novato, CA 94947-4338
Phone: (415) 209-6076
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Histology Technician (primary) Taxonomy 246RH0600X · Licence 25226 (IL)

Record details

NPI number1437644689
Entity typeIndividual (Type 1)
GenderMale
Credentials HT
Sole proprietorNo
NPI enumeratedJune 28, 2018
Last updated in NPPESJune 28, 2018
Mailing address9 Weybridge Ct, Oakland, CA 94611-2749