Pacific Vascular Incorporated
NPI 1023932944ActiveOrganization· Physiological Laboratory· Kennewick, WA
Physiological Laboratory in Kennewick, Washington, registered in NPPES in August 2026, part of Pacific Vascular Incorporated. The authorized official on file is Bonnie Brown, RVT, Ceo. Enrolled in Medicare as part b supplier - independent diagnostic testing facility (idtf).
Overview
| NPI | 1023932944 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Pacific Vascular Incorporated |
| NPI issued | Aug 5, 2026 |
| Last updated in NPPES | Oct 15, 2026 |
| Certified by provider | Oct 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (WA) |
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