<Unavail>
LBN: Pacific Vascular Incorporated
<Unavail> is an health care organization with primary practice located at 21616 76Th Ave W Suite 203, Edmonds WA 98026-7512. The organization recently has only one registered license in Laboratories / Physiological Laboratory, which is considered as the primary health care specialty.
Pacific Vascular Incorporated can be contacted via phone (425) 697-2706, or through Brown, Bonnie M via phone (425) 398-7781.
Contact Information
Primary practice address
21616 76Th Ave W Suite 203
Edmonds WA 98026-7512
Phone: (425) 697-2706
Fax: (425) 486-8976
Website:
Authorized official contact:
Name: Brown, Bonnie M Registered Vascular Technologist (RVT)
Phone: (425) 398-7781
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Laboratories / Physiological Laboratory | 293D00000X |
Profile Details
| NPI number | 1558417675 |
|---|---|
| LBN Legal business name | Pacific Vascular Incorporated |
| DBA Doing business as | <Unavail> |
| Authorized official | Brown, Bonnie M Registered Vascular Technologist (RVT) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Dec 2nd, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558417675 | NPPES |
| Washington | Other | P00219638 | RAILROAD MEDICARE |
| Washington | MEDICAID | 7015852 | RAILROAD MEDICARE |
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