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PACIFIC VASCULAR INCORPORATED
NPI 1750436945
Physiological Laboratory in Bothell, WA

Active since January 25, 2007
11714 N CREEK PKWY N, SUITE 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 09, 2026.

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

About Pacific Vascular Incorporated NPPES

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

PACIFIC VASCULAR INCORPORATED (NPI 1750436945) is a healthcare organization registered as a physiological laboratory in Bothell, Washington and active in the NPI registry since January 2007. The organization lists Bonnie Brown, Ceo, as its authorized official.

NPPES Registry Identity

NPI1750436945
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NamePACIFIC VASCULAR INCORPORATED
Location Address11714 N CREEK PKWY N, SUITE 100Bothell, WA 98011-8250
Mailing Address11714 N Creek Pkwy N Ste 100Bothell, WA 98011-8099 · (425) 486-8868 · Fax (425) 486-8976
Phone(425) 486-8868
Fax(425) 486-8976
Organization SubpartNo
Authorized OfficialBonnie BrownCeo · (425) 398-7781
Enumeration DateJanuary 25, 2007
Last NPPES UpdateDecember 2, 20252 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1750436945 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, Bothell, WA 98011
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Other Names 1

Other NamePacific Vascular-bothell

Other Identifiers 1

Medicaid7015852WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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.

KEITH ADRIAN FUJIOKA B.S., R.V.T.
Specialist/Technologist Cardiovascular (Vascular Specialist)
11714 N CREEK PKWY N, SUITE 100
BOTHELL, WA 98011
King County (425) 398-7777
MR. FRANKLIN W. WEST RN, BSN., RVT, RVS,
Registered Nurse
11714 N CREEK PKWY N, SUITE 100
BOTHELL, WA 98011
King County (425) 398-7774

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 1750436945. It was assigned to this organization in the NPPES registry on January 25, 2007. The provider is also known as Pacific Vascular-Bothell.

Where is Pacific Vascular Incorporated located?

Pacific Vascular Incorporated is located at 11714 N Creek Pkwy N Suite 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.

What insurance does Pacific Vascular Incorporated accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Pacific Vascular Incorporated as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.