Pacific Vascular Incorporated in Bothell - Physiological Laboratory
Pacific Vascular Incorporated - NPI 1518012608
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 1518012608. 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 | CFO |
|---|---|
| Authorized Official Name | Olmsted E Paul |
| Telephone Number | 4253987769 |
NPI Number Detail
| NPI Number | 1518012608 |
|---|---|
| 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 |
|---|---|---|---|
| 7015852 | WA | -- | |
| P00217284 | WA | RAILROAD MEDICARE |
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) 1518012608. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Pacific Vascular Incorporated?
The Pacific Vascular Incorporated is situated at 11714 N Creek Pkwy N, in the city of Bothell, state of WA, with the zip code 980118250.
What is Pacific Vascular Incorporated's specialized field of practice, and what is the corresponding taxonomy classification code?
The Pacific Vascular Incorporated's area of specialization is Physiological Laboratory, and the corresponding taxonomy code that categorizes this field of practice is 293D00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1518012608 to Pacific Vascular Incorporated?
The Pacific Vascular Incorporated received its 1518012608 assignment from the Centers for Medicare & Medicaid Services on 2007-01-25.
When was the information regarding Pacific Vascular Incorporated, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Pacific Vascular Incorporated, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-12-10.