Boldjay LLC

Primary specialty

Medical TechnologistTaxonomy code 246QM0706X

Legal business name

BOLDJAY LLC

Practice address

2138 S Indiana Ave Apt 805
Chicago, IL 60616-5151

Phone

(832) 713-3354

NPI assigned

Feb 16, 2022

Organization subpart

No

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

Authorized official

Name

Julius Amaefule

Title

Cfo

Phone

(832) 713-3354

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1124773221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 S INDIANA AVE APT 805",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606165151",
            "telephone_number": "832-713-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 S INDIANA AVE APT 805",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606165151",
            "telephone_number": "832-713-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLDJAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "AMAEFULE",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "832-713-3354"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiela Bolden, PSY.D.
• Kimberley M.H. Bolden, D.D.S.
• La Donna Michelle Bolden
• Rhonda Lee Bolden, LCPC, NCC
• Tegan Chanel Bolden
• Rhea Fries Boldman, PH.D.
• Neil Alan Boldus, O.D.
• Erin Bolema, RN
• Dianna W Bolen, PSYD
• Leo Boler, MD

• All providers in Chicago, IL
• Medical Technologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.