Pacific Vascular Incorporated
NPI 1619300308ActiveOrganization· Physiological Laboratory· Bothell, WA
Physiological Laboratory in Bothell, Washington, registered in NPPES in August 2013, part of Pacific Vascular Incorporated. The authorized official on file is Bonnie Brown, RVT, Ceo. Medicare paid $10,323 for services to 59 patients in 2024.
Overview
| NPI | 1619300308 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Pacific Vascular Incorporated |
| NPI issued | Aug 16, 2013 |
| Last updated in NPPES | Dec 2, 2025 |
| Certified by provider | Dec 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | WA |
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 | 59 |
|---|---|
| Services billed | 111 across 16 procedure codes |
| Paid by Medicare | $10,323 |
Other Physiological Laboratory providers in Bothell
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