NPI 1699784413

Teton Cardiovascular and Pulmonary Lab,llc

Organisation Physiological Laboratory Idaho Falls, ID

Practice location

Address: 2001 S Woodruff Ave Suite 12 B, Idaho Falls, ID 83404-6374
Phone: (800) 341-1043
Fax: (208) 528-7971
Mailing address: PO Box 2559, Burleson, TX 76097-2559

Authorised official

Name: Braden L Cazares
Title: Ceo
Phone: (972) 677-3896

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Idaho →

Registry record

NPI: 1699784413
Entity type: Organization
NPI issued: 8 Aug 2006
Record last updated: 6 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.