P Praxis·MD
● Active Type 2 · Organization

Teton Cardiovascular And Pulmonary Lab,llc

Physiological Laboratory·Idaho Falls, ID· NPI 1699784413 · Enumerated 2006 · 19 years on NPI
Teton Cardiovascular And Pulmonary Lab,llc is 1 of 9 physiological laboratory organizations in Idaho.
NPI age
19 years
Enumerated 2006-08-08
Primary specialty
Physiological Laboratory
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cazares
Ceo
Last NPPES update
2025-05-06
Source: monthly bulk 2026-05

How this organization compares

Across 9 active physiological laboratory providers in Idaho.

NPI age
19 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
2001 S Woodruff Ave, Suite 12 B
Idaho Falls, ID 834046374
📞 8003411043fax 2085287971
Mailing address
Po Box 2559
Burleson, TX 760972559
📞 8003411043fax 2085287971

Authorized official

Braden L Cazares
Ceo
📞 9726773896

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Physiological Laboratory Primary
    A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as...
    taxonomy 293D00000X

Identifiers

TypeValueNotes
05 (ID) 807391800
01 (ID) 000010153937 BLUE SHIELD OF IDAHO
01 (ID) 8M795 BLUE CROSS OF IDAHO

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Snake River Cardiovascular & Pulmonary Laboratory
    Type code 3 recorded 2006-08-08

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

Provyx · Custom healthcare lists

Need all 9 Physiological Laboratory providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related