Pacific Vascular Incorporated in Bothell - Physiological Laboratory
Pacific Vascular Incorporated - NPI 1245385467
Pacific Vascular Incorporated is a Physiological Laboratory in Bothell, Washington. Pacific Vascular Incorporated practices all healthcare services and medical treatments related to Physiological Laboratory. The NPI Number for Pacific Vascular Incorporated is 1245385467. The last update date is 2019-12-10.
Pacific Vascular Incorporated's current location address is 11714 N Creek Pkwy N, Bothell, Washington. You can contact this provider via phone number 4254868868 and fax number 4254868976. The mailing address for Pacific Vascular Incorporated is 11714 N Creek Pkwy N, Bothell, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pacific Vascular Incorporated |
|---|---|
| Address | 11714 N Creek Pkwy N, Bothell, Washington |
| Phone Number | 4254868868 |
| Fax Number | 4254868976 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO/CFO |
|---|---|
| Authorized Official Name | Olmsted E Paul |
| Telephone Number | 4253987769 |
NPI Number Detail
| NPI Number | 1245385467 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2019-12-10 |
Provider Mailing Address Detail
| Address | 11714 N Creek Pkwy N |
|---|---|
| City | Bothell |
| State | Washington (WA) |
| Post Code | 980118250 |
| Phone Number | 4254868868 |
| Fax Number | 4254868976 |
Provider's Primary Taxonomy Detail
| Speciality | Physiological Laboratory |
|---|---|
| Taxonomy | 293D00000X |
|
Definition: 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 laboratorie |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00217284 | WA | RAILROAD MEDICARE | |
| 7015852 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Pacific Vascular Incorporated by the Centers for Medicare & Medicaid Services (CMS)?
The Pacific Vascular Incorporated has been assigned the NPI (National Provider Identifier) 1245385467. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Pacific Vascular Incorporated?
The Pacific Vascular Incorporated is physically situated at 11714 N Creek Pkwy N, in the city of Bothell, state of WA, with the postal code 980118250.
What is Pacific Vascular Incorporated's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Pacific Vascular Incorporated is Physiological Laboratory, and the taxonomy classification code that categorizes this area of expertise is 293D00000X.
On what date did the Pacific Vascular Incorporated receive its 1245385467 assignment from the Centers for Medicare & Medicaid Services?
The Pacific Vascular Incorporated was assigned its 1245385467 by the Centers for Medicare & Medicaid Services on 2007-01-25.
When was the information pertaining to Pacific Vascular Incorporated most recently updated or revised?
The details related to Pacific Vascular Incorporated, including its address, specialty, and other relevant information, were last updated or revised on 2019-12-10.
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