Organization Active NPI

Sound Vascular, P.S.

  • Multi-Specialty Clinic/Center
  • Bellingham, WA
National Provider Identifier
1639568462
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
G8893622OtherPTAN

Other names 1

  • NORTHWEST VEIN CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

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.

Verify at the official NPI Registry.