PACIFIC VASCULAR INCORPORATED NPI 1891017992

NPI Information

  • NPI: 1891017992
  • Provider Name: PACIFIC VASCULAR INCORPORATED
  • Classification: Physiological Laboratory - 293D00000X
  • Entity Type: Organization
  • :
  • Address: 536 N 5TH AVE
    SUITE B
    SEQUIM, WA
    ZIP 98382
  • Phone: (360) 582-0000

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NPI Details

PACIFIC VASCULAR INCORPORATED is a physiological laboratory in Sequim, 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 1891017992. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

536 N 5TH AVE
SUITE B
SEQUIM, WA
ZIP 98382-079
Phone: (360) 582-0000
Fax: (425) 486-8976

The provider's authorized official is Bonnie M Brown .
The authorized official title is Ceo and has the following contact phone number (425) 398-7781.

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 study of arm and leg arteries (HCPCS:93922)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound of leg arteries at rest and after exercise (HCPCS:93924)
  • Complete ultrasound of within the brain blood flow (HCPCS:93886)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Complete ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93975)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93979)

The enumeration date for this NPI number is 2/17/2010 and was last updated on 12/2/2025.

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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