MATHEAVEN NPI 1124682935

NPI Information

NPI: 1124682935
Provider Name: MATHEAVEN
Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization
:
Address: 624 EISENHOWER ST
BARTOW, FL
ZIP 33830
Phone: (606) 585-8523

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NPI Details

MATHEAVEN is a physiological laboratory in Bartow, FL. The provider is 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 independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. MATHEAVEN NPI is 1124682935. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

624 EISENHOWER ST
BARTOW, FL
ZIP 33830-707
Phone: (606) 585-8523

The provider's authorized official is Miladys Fragoso .
The authorized official title is Owner and has the following contact phone number (606) 585-8523.

The enumeration date for this NPI number is 4/26/2019 and was last updated on 11/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	331L00000X	Blood Bank		No
2	335G00000X	Medical Foods Supplier		No
3	332B00000X	Durable Medical Equipment & Medical Supplies		No
4	347E00000X	Transportation Broker		No
5	305S00000X	Point of Service		No
6	174200000X	Meals		No
7	251E00000X	Home Health		No
8	261QH0100X	Clinic/Center	Health Service	No
9	261QI0500X	Clinic/Center	Infusion Therapy	No
10	261QA0005X	Clinic/Center	Ambulatory Family Planning Facility	No
11	343900000X	Non-emergency Medical Transport (VAN)		No
12	293D00000X	Physiological Laboratory		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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