Organization · Type 2 NPI

Pacific Vascular Incorporated

Physiological Laboratory · Auburn, WA

NPI number 1043365257 Active

Practice location

1 E Main St, Suite 120
Auburn, WA 98002-4905

Call (253) 887-8673 Map

Fax (425) 486-8976

Mailing address

11714 N Creek Pkwy N Ste 100
Bothell, WA 98011-8250

Specialties and licenses

Taxonomy	Code	License
Physiological Laboratory Primary	293D00000X	None listed

Physiological Laboratory: 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 labora…

4 other providers at this address

NPI record

NPI: 1043365257
Entity type: Organization (Type 2)
Issued: Jan 25, 2007
Last updated: Dec 2, 2025
Status: Active
Subpart: Yes of Pacific Vascular Incorporated

Other names

<unavail>
Pacific Vascular- Auburn · other name
Pacific Vascular- Auburn · other name

Authorized official

Bonnie M Brown, RVT
CEO/technical Director
(425) 398-7781

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1043365257

Pacific Vascular Incorporated's National Provider Identifier is 1043365257, issued on Jan 25, 2007. The primary taxonomy on file is Physiological Laboratory (293D00000X), and the practice location is in Auburn, WA. The record was last updated on Dec 2, 2025.