National Provider Identifier Database

PACIFIC VASCULAR INCORPORATED
Physiological Laboratory, (Independent Physiological Lab)

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.


Contact Information

PACIFIC VASCULAR INCORPORATED
11714 N CREEK PKWY N STE 100
BOTHELL, WA98011-8250
Phone: 425-486-8868
Fax: 425-486-8976
Website:
Specialty Taxonomy Code
* Physiological Laboratory, (Independent Physiological Lab) 293D00000X

* Indicates primary specialty

NPI Profile & details for PACIFIC VASCULAR INCORPORATED

NPI Number 1619300308
Legal business name
LBN
PACIFIC VASCULAR INCORPORATED
Authorized official BONNIE BROWN - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 08/16/2013
Last updated 12/02/2025 - About 6 months ago
Sole proprietor1 Not specified
Identifiers
  • WA Medicaid: 7015852

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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