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 1619300308

Pacific Vascular Incorporated is a Physiological Laboratory in Bothell, Washington. Licensed in Washington. Registered with an NPI since 2013.

Licensed in
WA
In the registry since
2013

Practice location Address checks out

11714 N Creek Pkwy N Ste 100
Bothell, WA 98011-8250
Phone: (425) 486-8868
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 (WA)

Record details

NPI number1619300308
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPacific Vascular Incorporated
Authorized official Bonnie Brown — Ceo · (425) 398-7769
Other names Pacific Vascular-Mobile 1 Ultrasound Services; Pacific Vascular-Mobile 1 Ultrasound Services
NPI enumeratedAugust 16, 2013
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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