Three Stripe McCray, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

THREE STRIPE MCCRAY, LLC

Practice address

2507 E 21St Ave
Tampa, FL 33605-2049

Phone

(813) 727-3011

Fax

(800) 897-5417

NPI assigned

Aug 17, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Tasha McCray, MSN-ED, RN

Title

Ceo

Phone

(813) 727-3011

Specialties & licenses 1

Addresses

Other names 1

• MIT Group Homes Doing business as

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1124630652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13056 LONG PINE TRL",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116530",
            "telephone_number": "813-727-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 E 21ST AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336052049",
            "telephone_number": "813-727-3011",
            "fax_number": "800-897-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE STRIPE MCCRAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "MCCRAY",
        "authorized_official_first_name": "TASHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-727-3011",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN-ED, RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIT Group Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.