MEDICARE: MATRIX DIAGNOSTICS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	293D00000X	Physiological Laboratory

General Provider Information

NPI Number	:	1205050325
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MATRIX DIAGNOSTICS, INC

Provider Business Mailing Address
First Line	:	1897 PALM BEACH LAKES BLVD
Second Line	:	SUITE 206
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-3507
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1897 PALM BEACH LAKES BLVD
Second Line	:	SUITE 206
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-3507
Country	:	US
Telephone Number	:	561-683-9923
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	BRYAN CONKLIN
Credential	:
Telephone Number	:	561-683-9923

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1104808146 — UNITED NURSING SERVICES, INC
Practice Location Address:

1897 PALM BEACH LAKES BLVD , SUITE # 213
WEST PALM BEACH, FL
33409-3507

Practice Phone: 561-478-8788
Practice Fax: 561-640-9635

1760491435 — PHYLLIS CECILIA KENNEDY ARNP
Practice Location Address:

1897 PALM BEACH LAKES BLVD , SUITE 222
WEST PALM BEACH, FL
33409-3507

Practice Phone: 561-719-2385
Practice Fax: 561-659-2825

1740337849 — RECOVERY HOME CARE SERVICES, INC.
Practice Location Address:

1897 PALM BEACH LAKES BLVD , SUITE 207
WEST PALM BEACH, FL
33409-3507

Practice Phone: 561-683-9923
Practice Fax: 561-683-9929

1467583229 — PERIODONTICS OF THE PALM BEACHES, P.A.
Practice Location Address:

1897 PALM BEACH LAKES BLVD , SUITE 215
WEST PALM BEACH, FL
33409-3507

Practice Phone: 561-686-2477
Practice Fax: 561-686-2699

1710005947 — DR. KENNETH BERNARD EMBLER D.D.S.
Practice Location Address:

1897 PALM BEACH LAKES BLVD , SUITE #106
WEST PALM BEACH, FL
33409-3507

Practice Phone: 561-683-0700
Practice Fax:

Directions to “MATRIX DIAGNOSTICS, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.