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MATHEAVEN
NPI 1124682935
Physiological Laboratory in Bartow, FL

Active since April 26, 2019
624 EISENHOWER ST, BARTOW, FL 33830(606) 585-8523 Get Directions Write a Review

NPPES record last updated: November 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2025, Feb 20, 2023, Apr 26, 2019 (3 updates tracked since 2019).

About Matheaven NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATHEAVEN (NPI 1124682935), doing business as Mat L.l.c., is a healthcare organization registered as a physiological laboratory in Bartow, Florida and active in the NPI registry since April 2019. The organization maintains a secondary practice location in Lakeland and lists Miladys Fragoso, Owner, as its authorized official.

NPPES Registry Identity

NPI1124682935
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameMATHEAVEN
Location Address624 EISENHOWER STBartow, FL 33830-9707
Mailing Address624 Eisenhower StBartow, FL 33830-9707 · (606) 585-8523 · Fax (863) 251-9564
Phone(606) 585-8523
Organization SubpartNo
Authorized OfficialMiladys FragosoOwner · (606) 585-8523
Enumeration DateApril 26, 2019
Last NPPES UpdateNovember 16, 20253 updates tracked since enumeration
NPPES CertifiedNovember 16, 2025
✔ NPI 1124682935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition
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.
Also ListedMealsTaxonomy 174200000X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedClinic/Center · Ambulatory Family Planning FacilityTaxonomy 261QA0005X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X
Also ListedPoint of ServiceTaxonomy 305S00000X
Also ListedBlood BankTaxonomy 331L00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedMedical Foods SupplierTaxonomy 335G00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
Also ListedTransportation BrokerTaxonomy 347E00000X
624 EISENHOWER ST, Bartow, FL 33830
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Other Names 2

Doing Business AsMat L.l.c.
Doing Business AsMatheaven

Secondary Practice Location 1

Location 14810 US Highway 92 ELakeland, FL 33801-9494 · Phone (606) 585-8523 · Fax (863) 251-9564

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matheaven's NPI number?

The NPI number for Matheaven is 1124682935. It was assigned to this organization in the NPPES registry on April 26, 2019. The provider is doing business as Mat L.L.C..

Where is Matheaven located?

Matheaven is located at 624 Eisenhower St, Bartow, FL 33830. The listed phone number is (606) 585-8523.

What is Matheaven's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

When was this NPI record last updated?

The NPPES record for Matheaven was last updated on November 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.