Pacific Vascular Incorporated
NPI 1639776842ActiveOrganization· Physiological Laboratory· Port Angeles, WA
Physiological Laboratory in Port Angeles, Washington, registered in NPPES in October 2020. The authorized official on file is Bonnie M. Brown, RVT, Ceo/Technical Director. Medicare paid $101,167 for services to 331 patients in 2024.
Overview
| NPI | 1639776842 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 1, 2020 |
| 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 | 331 |
|---|---|
| Services billed | 847 across 17 procedure codes |
| Paid by Medicare | $101,167 |