Organization · Type 2 NPI
Matheaven
Physiological Laboratory · Bartow, FL
Practice location
624 Eisenhower St
Bartow, FL 33830-9707
Other practice locations
- 4810 US Highway 92 E, Lakeland, FL 33801-9494 · (606) 585-8523
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Meals Provider | 174200000X | None listed |
| Home Health Agency | 251E00000X | None listed |
| Ambulatory Family Planning Facility | 261QA0005X | None listed |
| Health Service Clinic/Center | 261QH0100X | None listed |
| Infusion Therapy Clinic/Center | 261QI0500X | None listed |
| Physiological Laboratory Primary | 293D00000X | None listed |
| Point of Service | 305S00000X | None listed |
| Blood Bank | 331L00000X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
| Medical Foods Supplier | 335G00000X | None listed |
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
| Transportation Broker | 347E00000X | None listed |
Physiological Laboratory: 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 labora…
About NPI 1124682935
Matheaven's National Provider Identifier is 1124682935, issued on Apr 26, 2019. The primary taxonomy on file is Physiological Laboratory (293D00000X), and the practice location is in Bartow, FL. The record was last updated on Nov 16, 2025.