Organization · Type 2 NPI

Pacific Vascular Incorporated

Physiological Laboratory · Port Orchard, WA

NPI number 1730085754 Active

Practice location

463 Tremont St W Ste 120
Port Orchard, WA 98366-3743

Fax (425) 486-8976

Mailing address

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

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 1730085754

Pacific Vascular Incorporated's National Provider Identifier is 1730085754, issued on Oct 16, 2026. The primary taxonomy on file is Physiological Laboratory (293D00000X), and the practice location is in Port Orchard, WA. The record was last updated on Oct 16, 2026.