ADVANCED PERIPHERAL VASCULAR DIAGNOSTICS INC — NPI 1093771289 (Licensed & Credentialed Spec/Tech, Cardiovascular, Sonography in MONROE, WA)

CMS-1500 Box 24J / 33a • NPI

1093771289

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

246XS1301X

Licensed & Credentialed Spec/Tech, Cardiovascular, Sonography

Box 32 Service Location & ZIP+4

14701 179TH AVE SE, MONROE, WA, 98272-1108

✓ 9-Digit EDI 837 ZIP+4 (98272-1108)

Practice Phone & Referral Fax

(360) 791-1447

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1093771289 (ADVANCED PERIPHERAL VASCULAR DIAGNOSTICS INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1093771289` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCED PERIPHERAL VASCULAR DIAGNOSTICS INC
Plain-English Specialty	Licensed & Credentialed Spec/Tech, Cardiovascular, Sonography NUCC Code: `246XS1301X` (Spec/Tech, Cardiovascular, Sonography)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	14701 179TH AVE SE, MONROE, WA, 98272-1108
Practice Telephone / Fax	Tel: (360) 791-1447
Administrative Mailing Address	PO BOX 1480, MUKILTEO, WA, 98275-1480
Enumeration & Last Sync	Enumerated: 2006-04-25 \| CMS Record Updated: 2020-08-22
Authorized Official	ROXANNE O'BRIEN (Owner/President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

14701 179TH AVE SE, MONROE, WA, 98272-1108

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Plain-English Taxonomy & CMS Crosswalk (246XS1301X)

What Does Taxonomy Code 246XS1301X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 246XS1301X translates to:
"Licensed & Credentialed Spec/Tech, Cardiovascular, Sonography"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Spec/Tech, Cardiovascular, Sonography for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCED PERIPHERAL VASCULAR DIAGNOSTICS INC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`246XS1301X` — Spec/Tech, Cardiovascular, Sonography Plain English: Licensed & Credentialed Spec/Tech, Cardiovascular, Sonography	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADVANCED PERIPHERAL VASCULAR DIAGNOSTICS INC (NPI #1093771289)