Pacific Vascular Incorporated
NPI 1336019314 · Physiological Laboratory · Port Ludlow, WA
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pacific Vascular Incorporated is a Physiological Laboratory organization in Port Ludlow, WA (NPI 1336019314).
Provider details
- NPI number
- 1336019314
- Entity type
- Organization
- Primary specialty
- Physiological LaboratoryLaboratories
- Parent organization
- Pacific Vascular Incorporated
- Organization subpart
- Yes
- Authorized official
- Bonnie Brown, Ceo(425) 398-7781
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Pacific Vascular-Port Ludlow
Registry dates
- Enumerated
- 2025-11-06
- Last updated
- 2025-12-02
- Certified
- 2025-12-02
Frequently asked questions
- What is Pacific Vascular Incorporated's NPI number?
- Pacific Vascular Incorporated's National Provider Identifier (NPI) is 1336019314, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Vascular Incorporated?
- Pacific Vascular Incorporated is classified in the NPPES registry as Physiological Laboratory (Laboratories).
- Where is Pacific Vascular Incorporated located?
- Pacific Vascular Incorporated's practice location on file with NPPES is 117 Village Way, Port Ludlow, WA 98365-8792.
- What is Pacific Vascular Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Pacific Vascular Incorporated is (425) 486-8868.
- Does Pacific Vascular Incorporated accept Medicare?
- Pacific Vascular Incorporated is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pacific Vascular Incorporated?
- The authorized official listed on Pacific Vascular Incorporated's NPPES record is Bonnie Brown, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Vascular Incorporated's NPI active?
- Yes — Pacific Vascular Incorporated's NPI (1336019314) is active in the NPPES registry as of the last update on 2025-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.