Pacific Vascular Incorporated in Bothell - Physiological Laboratory

Pacific Vascular Incorporated - NPI 1295880433

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 1295880433. 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 1295880433
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

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FAQs about Pacific Vascular Incorporated

What is the unique 10-digit identification code issued to Pacific Vascular Incorporated by the Centers for Medicare & Medicaid Services?

The Pacific Vascular Incorporated has been assigned the NPI (National Provider Identifier) 1295880433 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Pacific Vascular Incorporated is located?

The Pacific Vascular Incorporated is situated at the following address: 11714 N Creek Pkwy N, Bothell, WA, 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 Pacific Vascular Incorporated receive its 1295880433 assignment from the Centers for Medicare & Medicaid Services?

The Pacific Vascular Incorporated was assigned its 1295880433 on 2007-01-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Pacific Vascular Incorporated's details last updated?

The information pertaining to the Pacific Vascular Incorporated, including its address, specialty, and other details, was most recently updated on 2019-12-10.

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