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MATTOS MEDICAL GROUP LLC
NPI 1265845861
Clinic/Center in Tampa, FL

Active since June 11, 2014CLIA 10D2053091 · Waiver
8315 N SAULRAY ST, TAMPA, FL 33604(813) 871-2950(813) 871-5972 Get Directions Write a Review

NPPES record last updated: November 21, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 21, 2019, May 23, 2017 (2 updates tracked since 2017).

About Mattos Medical Group Llc NPPES

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

MATTOS MEDICAL GROUP LLC (NPI 1265845861) is a healthcare organization registered as a clinic/center in Tampa, Florida and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists Kenneth Mattos, Owner, as its authorized official.

NPPES Registry Identity

NPI1265845861
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMATTOS MEDICAL GROUP LLC
Location Address8315 N SAULRAY STTampa, FL 33604-2770
Mailing Address8315 N Saulray StTampa, FL 33604-2770 · (813) 871-2950 · Fax (813) 871-5972
Phone(813) 871-2950
Fax(813) 871-5972
Organization SubpartNo
Authorized OfficialKenneth MattosOwner · (813) 871-2950
Enumeration DateJune 11, 2014
Last NPPES UpdateNovember 21, 20192 updates tracked since enumeration
✔ NPI 1265845861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

8315 N SAULRAY ST, Tampa, FL 33604
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2053091

Mattos Medical Group · Tampa, FL
Active · expires Jan 24, 2027
CLIA Number10D2053091
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorKenneth Mattos
Laboratory Phone(813) 871-2950
Laboratory LocationMattos Medical Group8315 N Saulray St, Tampa, FL 33604
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is MATTOS MEDICAL GROUP LLC's NPI number?

The NPI number assigned to this healthcare provider is 1265845861, enumerated as an "organization" on June 11, 2014.

Where is the provider located?

The provider is located at 8315 N SAULRAY ST TAMPA, FL 33604 and the phone number is (813) 871-2950.

What is the provider's specialty?

Clinic/Center with taxonomy code 261Q00000X.