Organization
BREMERTON VASCULAR IMAGING LLC
Active
Organization
BREMERTON VASCULAR IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE JACKSON (AUTHORIZED OFFICIAL / SONOGRAPHER)
(541) 760-8214
Entity
Organization
Contact information
Practice address
5610 KITSAP WAY STE 365, BREMERTON, WA 98312-2266
(541) 760-8214
Mailing address
5610 KITSAP WAY STE 365, BREMERTON, WA 98312-2266
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2026
Last updated
06/05/2026
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