Matrix Diagnostics, Inc

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

MATRIX DIAGNOSTICS, INC

Practice address

1897 Palm Beach Lakes Blvd
Suite 206
West Palm Beach, FL 33409-3507

Phone

(561) 683-9923

NPI assigned

Apr 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bryan Conklin

Title

Vice President

Phone

(561) 683-9923

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205050325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1897 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 206",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1897 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 206",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093507",
            "telephone_number": "561-683-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX DIAGNOSTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONKLIN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "561-683-9923"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsy Mathew, OTR/L
• Delilah C Mathews, M.ED., CCC-SLP/L
• William Francis Matias-Muniz, RBT
• Matriscino Associates,Inc.
• Dion Matriscino, L.C.S.W.
• Matrix Home Care LLC
• Matrix Testing, LLC
• Jenna Renee Mattatall, PTA
• Korin Matter
• George Ryan Mattes, D.C.

• Physiological Laboratory in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Physiological Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.