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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PACIFIC VASCULAR INCORPORATED
NPI 1730085754
Physiological Laboratory in Port Orchard, WA

Active since October 16, 2026
463 TREMONT ST W STE 120, PORT ORCHARD, WA 98366(425) 486-8868(425) 486-8976 Get Directions Write a Review

NPPES record added: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pacific Vascular Incorporated NPPES

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

PACIFIC VASCULAR INCORPORATED (NPI 1730085754) is a healthcare organization registered as a physiological laboratory in Port Orchard, Washington and active in the NPI registry since October 2026. The organization lists Bonnie Marie Brown, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730085754
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NamePACIFIC VASCULAR INCORPORATED
Location Address463 TREMONT ST W STE 120Port Orchard, WA 98366-3743
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 Marie BrownCeo · (425) 398-7781
Enumeration DateOctober 16, 2026
NPPES CertifiedOctober 16, 2026
✔ NPI 1730085754 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.
463 TREMONT ST W STE 120, Port Orchard, WA 98366
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Other Identifiers 1

Medicaid7015852WA

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 1730085754. It was assigned to this organization in the NPPES registry on October 16, 2026.

Where is Pacific Vascular Incorporated located?

Pacific Vascular Incorporated is located at 463 Tremont St W Ste 120, Port Orchard, WA 98366. 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 October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.