Organization Active NPI

McCray Medical Care

  • Clinical Laboratory Director (Non-physician)
  • Jacksonville, FL
National Provider Identifier
1881475119
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X
Legal business name
MCCRAY MEDICAL CARE
Practice address
2150 Soutel Dr # 12
Jacksonville, FL 32208-2281
Phone
(904) 434-6875
Fax
(904) 467-3297
NPI assigned
Oct 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Ashley Ross McCray
Title
Owner
Phone
(904) 434-6875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Laboratory Director (Non-physician)Group: 193400000X SINGLE SPECIALTY GROUP 247ZC0005X Primary

Addresses

Primary practice location

2150 Soutel Dr # 12
Jacksonville, FL 32208-2281

Mailing address

2150 Soutel Dr # 12
Jacksonville, FL 32208-2281
Phone (904) 434-6875

National Provider Directory

National Provider Directory
Tax ID family
McCray Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2150 Soutel Dr
#12
Jacksonville, FL 32208
Phone (904) 434-6875

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1881475119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 SOUTEL DR # 12",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082281",
            "telephone_number": "904-434-6875",
            "fax_number": "904-467-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 SOUTEL DR # 12",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082281",
            "telephone_number": "904-434-6875",
            "fax_number": "904-467-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCRAY MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "MCCRAY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-434-6875"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.