NPI age
4 years
Enumerated 2021-12-10
● Active
Type 1 · Individual
MRS. Holly Marie Heidemann, TOXICOLOGYFACILITATO
Heidemann is 1 of 6 clinical medical laboratory providers in Pocatello and 1 of 75 in Idaho.
Primary specialty
Clinical Medical Laboratory
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2021-12-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 75 active clinical medical laboratory providers in Idaho.
NPI age
4 years
↓ 10 yr below median (14 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
4% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-12Enumerated in NPPES
2021
2026
Where they practice
Practice location
350 Yellowstone Ave
Pocatello, ID 83201
Mailing address
350 Yellowstone Ave
Pocatello, ID 83201
Specialties
-
Clinical Medical Laboratory Primary(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...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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