Organization · Type 2 NPI

Pacific Vascular Incorporated

Physiological Laboratory · Port Angeles, WA

NPI number 1639776842 Active

Practice location

112 Del Guzzi Dr Ste 2
Port Angeles, WA 98362-4976

Fax (425) 486-8976

Mailing address

11714 N Creek Pkwy N Ste 100
Bothell, WA 98011-8099

Specialties and licenses

TaxonomyCodeLicense
Physiological Laboratory Primary 293D00000XNone 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 1639776842

Pacific Vascular Incorporated's National Provider Identifier is 1639776842, issued on Oct 1, 2020. The primary taxonomy on file is Physiological Laboratory (293D00000X), and the practice location is in Port Angeles, WA. The record was last updated on Dec 2, 2025.