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Pacific Vascular Incorporated

NPI 1154476216ActiveOrganization· Physiological Laboratory· Seattle, WA

Physiological Laboratory in Seattle, Washington, registered in NPPES in January 2007, part of Pacific Vascular Incorporated. The authorized official on file is Bonnie M. Brown, RVT, Ceo. Medicare paid $95,397 for services to 1,312 patients in 2024.

Overview

NPI1154476216
StatusActive
Entity typeOrganization (subpart)
Parent organizationPacific Vascular Incorporated
NPI issuedJan 25, 2007
Last updated in NPPESDec 2, 2025
Certified by providerDec 2, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physiological Laboratory Primary293D00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No 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 assignmentYes (participating)

Medicare services in 2024

Medicare patients1,312
Services billed2,292 across 21 procedure codes
Paid by Medicare$95,397

Medicare sources and data years

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