Individual provider · Type 1 NPI

Holly Marie Heidemann, TOXICOLOGYFACILITATO

Clinical Medical Laboratory · Pocatello, ID

NPI number 1750040432 Active

Practice location

350 Yellowstone Ave
Pocatello, ID 83201

Fax (208) 233-0942

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory Primary 291U00000XNone listed

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

About NPI 1750040432

Holly Marie Heidemann, TOXICOLOGYFACILITATO's National Provider Identifier is 1750040432, issued on Dec 10, 2021. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Pocatello, ID. The record was last updated on Dec 10, 2021.