Organization · Type 2 NPI
Pacific Vascular Incorporated
Physiological Laboratory · Port Ludlow, WA
Practice location
117 Village Way
Port Ludlow, WA 98365-8792
Fax (425) 486-8976
Mailing address
11714 N Creek Pkwy N Ste 100
Bothell, WA 98011-8099
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…
About NPI 1336019314
Pacific Vascular Incorporated's National Provider Identifier is 1336019314, issued on Nov 6, 2025. The primary taxonomy on file is Physiological Laboratory (293D00000X), and the practice location is in Port Ludlow, WA. The record was last updated on Dec 2, 2025.