OrganizationActive
Matheaven
NPI 1124682935 · Physiological Laboratory · Bartow, FL
Provider details
- NPI number
- 1124682935
- Entity type
- Organization
- Primary specialty
- Physiological LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Miladys Fragoso, Owner(606) 585-8523
Specialties & taxonomies
Laboratories
- Blood Bank331L00000X
Suppliers
- Medical Foods Supplier335G00000X
Suppliers
Suppliers
- Transportation Broker347E00000X
Transportation Services
- Point of Service305S00000X
Managed Care Organizations
- Meals Provider174200000X
Other Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
624 Eisenhower St
Bartow, FL 33830-9707
Phone: (606) 585-8523
Street-level locationGet directions
Mailing address
624 Eisenhower St
Bartow, FL 33830-9707
Other names (DBA / former)
- Doing business as
- Mat L.L.C.
- Doing business as
- Matheaven
Additional practice locations (1)
- 4810 US Highway 92 ELakeland, FL 33801-9494Phone: (606) 585-8523Fax: (863) 251-9564
Registry dates
- Enumerated
- 2019-04-26
- Last updated
- 2025-11-16
- Certified
- 2025-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.