Healthcare Provider Details

I. General information

NPI: 1285599688
Provider Name (Legal Business Name): M&M DIAGNOSTIC & SCREENING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 PALMETTO AVE NW STE B
WINTER HAVEN FL
33881-2105
US

IV. Provider business mailing address

1824 6TH ST SE
WINTER HAVEN FL
33880-4439
US

V. Phone/Fax

Practice location:
  • Phone: 863-594-3864
  • Fax:
Mailing address:
  • Phone: 863-594-3867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: NATASHA MCARTHUR
Title or Position: OWNER
Credential: N/A
Phone: 863-594-3867