Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pacific Vascular Incorporated

Organization Physiological Laboratory · NPI 1245385467

Pacific Vascular Incorporated is a Physiological Laboratory in Seattle, Washington. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

5300 Tallman Ave NW 2nd Fl Imaging
Seattle, WA 98107-3932
Phone: (206) 781-6361
Fax: (425) 486-8976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physiological Laboratory (primary) Taxonomy 293D00000X

Record details

NPI number1245385467
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPacific Vascular Incorporated
Authorized official Bonnie Brown — Ceo · (425) 398-7781
Other names Pacific Vascular-Ballard; Pacific Vascular-Ballard
NPI enumeratedJanuary 25, 2007
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025
Mailing address11714 N Creek Pkwy N Ste 100, Bothell, WA 98011-8250

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