Pacific Vascular Incorporated
NPI 1043365257ActiveOrganization· Physiological Laboratory· Auburn, WA
Physiological Laboratory in Auburn, Washington, registered in NPPES in January 2007, part of Pacific Vascular Incorporated. The authorized official on file is Bonnie M. Brown, RVT, Ceo/Technical Director. Medicare paid $36,423 for services to 119 patients in 2024.
Overview
| NPI | 1043365257 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Pacific Vascular Incorporated |
| NPI issued | Jan 25, 2007 |
| Last updated in NPPES | Dec 2, 2025 |
| Certified by provider | Dec 2, 2025 |
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) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 119 |
|---|---|
| Services billed | 245 across 16 procedure codes |
| Paid by Medicare | $36,423 |