Active NPI
Sound Vascular, P.S.
- Multi-Specialty Clinic/Center
- Bellingham, WA
National Provider Identifier
1639568462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- SOUND VASCULAR, P.S.
- Doing business as
- NORTHWEST VEIN CENTER
- Practice address
- 3104 Squalicum Pkwy
Ste 101
Bellingham, WA 98225 - Phone
- (360) 733-2557
- Fax
- (360) 733-4674
- NPI assigned
- Jan 16, 2015
- Organization subpart
- Yes
- Parent organization
- SOUND VASCULAR, P.S.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Lehan
- Title
- Manager
- Phone
- (253) 874-7107
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
3104 Squalicum Pkwy
Ste 101
Bellingham, WA 98225
Mailing address
922 S 348TH St
Federal Way, WA 98003-7021
Phone (253) 874-7107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8893622 | Other | PTAN |
Other names 1
- NORTHWEST VEIN CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100831000406 | WA | Part B Supplier - Clinic/Group Practice | 8729102595 |
Receives reassigned benefits from 7 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Federal Way, WA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Sound Vascular PS
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Surgical Technologist
- Federal Way, WA
- NPI 1275854887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421798400000",
"number": "1639568462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 S 348TH ST",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980037021",
"telephone_number": "253-874-7107",
"fax_number": "253-874-1923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3104 SQUALICUM PKWY",
"address_2": "STE 101",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "98225",
"telephone_number": "360-733-2557",
"fax_number": "360-733-4674"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUND VASCULAR, P.S.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOUND VASCULAR, P.S.",
"enumeration_date": "2015-01-16",
"last_updated": "2015-01-21",
"status": "A",
"authorized_official_last_name": "LEHAN",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "253-874-7107"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "G8893622",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NORTHWEST VEIN CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.