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PACIFIC VASCULAR INCORPORATED
NPI 1619300308
Physiological Laboratory in Bothell, WA

Active since August 16, 2013
11714 N CREEK PKWY N STE 100, BOTHELL, WA 98011(425) 486-8868(425) 486-8976 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2025, Dec 10, 2019, May 11, 2016 (3 updates tracked since 2016).

About Pacific Vascular Incorporated NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC VASCULAR INCORPORATED (NPI 1619300308) is a healthcare organization registered as a physiological laboratory in Bothell, Washington and active in the NPI registry since August 2013. The organization lists Bonnie Brown, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619300308
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NamePACIFIC VASCULAR INCORPORATED
Location Address11714 N CREEK PKWY N STE 100Bothell, WA 98011-8250
Mailing Address11714 N Creek Pkwy N Ste 100Bothell, WA 98011-8250 · (425) 486-8868 · Fax (425) 486-8976
Phone(425) 486-8868
Fax(425) 486-8976
Organization SubpartYes
Authorized OfficialBonnie BrownCeo · (425) 398-7769
Enumeration DateAugust 16, 2013
Last NPPES UpdateDecember 2, 20253 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1619300308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition
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.
11714 N CREEK PKWY N STE 100, Bothell, WA 98011
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Other Names 1

Other NamePacific Vascular-mobile 1 Ultrasound Services

Other Identifiers 1

Medicaid7015852WA

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
35 services33 patients
Ultrasound of leg arteries or artery grafts 93925
An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
20 services19 patients
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978
This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.
13 services13 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AJAY ZACHARIAH BS, RVT, RDCS, RDMS
Radiologic Technologist (Vascular Sonography)
11714 N CREEK PKWY N STE 100
BOTHELL, WA 98011
King County (425) 486-8868
MR. JAMES W BROWN RVT
Radiologic Technologist (Vascular Sonography)
11714 N CREEK PKWY N STE 100
BOTHELL, WA 98011
King County (425) 486-8868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Vascular Incorporated's NPI number?

The NPI number for Pacific Vascular Incorporated is 1619300308. It was assigned to this organization in the NPPES registry on August 16, 2013. The provider is also known as Pacific Vascular-Mobile 1 Ultrasound Services.

Where is Pacific Vascular Incorporated located?

Pacific Vascular Incorporated is located at 11714 N Creek Pkwy N Ste 100, Bothell, WA 98011. The listed phone number is (425) 486-8868.

What is Pacific Vascular Incorporated's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

When was this NPI record last updated?

The NPPES record for Pacific Vascular Incorporated was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.