Pacific Vascular Incorporated, NPI 1245385467
Physiological Laboratory in Seattle, WA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1245385467
NPI Entity Type Organization
Provider Name Pacific Vascular Incorporated
Other Name
Subpart of Organization Pacific Vascular Incorporated
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 5300 Tallman Ave Nw, 2nd Floor Imaging, Seattle, WA, US
Provider Mailing Address 11714 N Creek Pkwy N, Suite 100, Bothell, WA, US, 980118250
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Paul E Olmsted
Official Position CEO/CFO
Phone 425-398-7769

Primary Taxonomy

Taxonomy Code

293D00000X

Taxonomy Name Physiological Laboratory
Classification

Physiological Laboratory

Group

Laboratories

Description A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

Other Organization Name

Pacific Vascular-Ballard
Other Name

Business Address

Pacific Vascular Incorporated
5300 Tallman Ave Nw
2nd Floor Imaging

Seattle, WA, US

Phone: 206-781-6361
Fax: 425-486-8976

Mailing Address

Pacific Vascular Incorporated
11714 N Creek Pkwy N
Suite 100
Bothell, WA, US
ZIP 980118250
Phone: 425-486-8868
Fax: 425-486-8976

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
P00217284 WA RAILROAD MEDICARE 01
7015852 WA MEDICAID 05

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