Healthcare Provider Details
I. General information
NPI: 1982548236
Provider Name (Legal Business Name): MATRIXPRO HOLDINGS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
341 W KATHLEEN DR
DES PLAINES IL
60016-2720
US
IV. Provider business mailing address
341 W KATHLEEN DR
DES PLAINES IL
60016-2720
US
V. Phone/Fax
- Phone: 929-410-5754
- Fax:
- Phone: 929-410-5754
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MUHAMMAD
ARSALAN
Title or Position: CEO
Credential:
Phone: 929-410-5754