We present preliminary results from numerical simulations of blood flow in a prototype of a centrifugal pump. The simulations involve incompressible Navier-Stokes governing equations, stabilized space-time finite element formulations, and parallel implementation on distributed memory architectures. The examples illustrate our approach of custom hybrid structured-unstructured tetrahedral meshes, which accommodate the rotation of the pump impeller with respect to the stationary housing, without assuming axisymmetry of either part.