PACIFIC VASCULAR INCORPORATED – NPI #1295145894
Physiological Laboratory

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.

Health Care Provider Taxonomy Code for Physiological Laboratory

PACIFIC VASCULAR INCORPORATED is a physiological laboratory located in BELLINGHAM, WA. NPPES has assigned the NPI number 1295145894 to PACIFIC VASCULAR INCORPORATED on May 05, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 293D00000X from the Health Care Provider Taxonomy code set, which is classified as Physiological Laboratory.

The NPI profile was last updated on Dec 02, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PACIFIC VASCULAR INCORPORATED below.

NPI Profile for
PACIFIC VASCULAR INCORPORATED

NPI Number
1295145894
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PACIFIC VASCULAR INCORPORATED
Primary location
3104 SQUALICUM PKWY
SUITE 102
BELLINGHAM, WA 98225-1941
Phone: (360) 733-8128 Fax: (425) 486-8976
Mailing address
11714 N CREEK PKWY N STE 100
BOTHELL, WA 98011-8250
Phone: (425) 486-8868 Fax: (425) 486-8976
Organization Subpart
Yes - PACIFIC VASCULAR INCORPORATED is subpart of another organization.
Authorized Official
BONNIE BROWN
CEO
Phone: (425) 398-7781
Updated
Certification Date
Dec 02, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PACIFIC VASCULAR INCORPORATED

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidWA7015852
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
293D00000X
- Physiological Laboratory (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.