Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. HOLLY MARIE HEIDEMANN, TOXICOLOGYFACILITATO
Active Sole ProprietorMRS. HOLLY MARIE HEIDEMANN, TOXICOLOGYFACILITATO is a Clinical Medical Laboratory healthcare provider located in POCATELLO, Idaho. NPI 1750040432 is currently active in the NPPES registry. Verify at CMS.
Clinical Medical Laboratory · POCATELLO, ID
Registration Details
- NPI Number
- 1750040432
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 10, 2021 (4.4902217808162 yrs)
- Last Updated
- Dec 10, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
350 YELLOWSTONE AVEPOCATELLO, ID, 83201Browse ID providers · Browse ZIP 83201
- Phone
- 2082330940
- Fax
- 2082330942
- Primary Specialty
-
Clinical Medical Laboratory
291U00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.