PACIFIC VASCULAR INCORPORATED NPI 1750436945

NPI Information

  • NPI: 1750436945
  • Provider Name: PACIFIC VASCULAR INCORPORATED
  • Classification: Physiological Laboratory - 293D00000X
  • Entity Type: Organization
  • Address: 11714 N CREEK PKWY N
    SUITE 100
    BOTHELL, WA
    ZIP 98011
  • Phone: (425) 486-8868

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NPI Details

PACIFIC VASCULAR INCORPORATED is a physiological laboratory in Bothell, WA. The provider is 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. PACIFIC VASCULAR INCORPORATED NPI is 1750436945. The provider is registered as an organization entity type.

The provider's business location address is:

11714 N CREEK PKWY N
SUITE 100
BOTHELL, WA
ZIP 98011-250
Phone: (425) 486-8868
Fax: (425) 486-8976

The provider's authorized official is Paul E Olmsted .
The authorized official title is Ceo/cfo and has the following contact phone number (425) 398-7769.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)

The enumeration date for this NPI number is 1/25/2007 and was last updated on 12/10/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1293D00000XPhysiological LaboratoryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17015852MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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