Refer a Patient

Referral Form

Download our referral form or fax your own signed referral/order.

Questions about scheduling, referrals, insurance, self-pay pricing, or vascular ultrasound services? We're happy to help.

Most patients can be scheduled within 1–3 business days, with urgent appointments accommodated whenever possible.

Contact Bremerton Vascular Imaging by phone, email, fax, or the form below. We strive to respond to all inquiries within one business day.

Phone: (360) 209-2088

Fax: (360) 252-6354

Address: 5610 Kitsap Way Ste 365, Bremerton, WA 98312

Email: Info@Bremertonvascularimaging.com

Office Hours:

Monday - Friday : 8:30 AM - 3:00 PM | By appointment only.

Typical Report Turnaround

  • All vascular ultrasound studies are independently interpreted and signed by Mark Kim, MD, RPVI.

  • Routine studies: 1–2 business days

  • Urgent findings are communicated directly to the referring provider.

Why Refer to Bremerton Vascular Imaging?

✓ Physician-supervised vascular ultrasound

✓ Registered Vascular Technologist (RVT)

✓ Board-certified physician interpretation

✓ Typical reports in 1–2 business days

✓ Prompt communication of urgent findings

✓ Convenient Bremerton location

Bremerton Vascular Imaging Information

  • Group NPI: 1104773126

  • Tax ID: 41-4670759

  • Fax: 360-252-6354

  • Referral Email: referrals@bremertonvascularimaging.com

  • Facility Name: Bremerton Vascular Imaging LLC

  • Address: 5610 Kitsap Way, Suite 365, Bremerton, WA 98312

Prior Authorization

Some insurance plans require prior authorization for vascular ultrasound studies. Referring offices are encouraged to obtain authorization before scheduling when required by the patient's insurance plan.

A hospital room with an examination bed dressed in light blue sheets and pillow, an ultrasound machine with a monitor and control panel nearby, a cup and water bottle on the machine, and posters of the human muscular system on the wall. There is also a window with vertical blinds and a small dresser with medical supplies, with a potted plant in the corner.

How to Refer

Referrals / Orders may be faxed to: (360) 252-6354

Please include:

  • Signed Referral / order

  • Patient demographics

  • Insurance information (if applicable)

  • Relevant clinical notes

  • Prior authorization (when required)

Questions? Call (360)209-2088

Serving patients throughout Kitsap County, including Bremerton, Silverdale, Port Orchard, Poulsbo, Bainbridge Island, and surrounding communities.