Three Stripe McCray, LLC
Clinical Medical Laboratory in Tampa, FL. Organization (NPI-2).
NPI number1124630652
StatusActive
Last updated in NPPESAug 17, 2020
Details
- NPI
- 1124630652
- Entity type
- Organization (NPI-2)
- Legal business name
- Three Stripe McCray, LLC
- Organization subpart
- No
- Enumeration date
- Aug 17, 2020
- Certification date
- Aug 17, 2020
- Last updated
- Aug 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Other names
- Mit Group Homes (Doing Business As)
Practice location
2507 E 21st AveTampa, FL 33605-2049
Phone 813-727-3011 · Fax 800-897-5417
Mailing address
13056 Long Pine TrlClermont, FL 34711-6530
Phone 813-727-3011
Authorized official
Tasha McCray
Ceo
8137273011
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