Ma Clinical Laboratory Services LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MA CLINICAL LABORATORY SERVICES LLC

Practice address

3334 Founders Rd
Indianapolis, IN 46268-1333

Phone

(317) 220-8499

NPI assigned

Feb 22, 2022

Organization subpart

No

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

Authorized official

Name

Mykeshia Taylor

Title

Owner

Phone

(317) 220-8499

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1902552540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 FOUNDERS RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681333",
            "telephone_number": "317-220-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 FOUNDERS RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681333",
            "telephone_number": "317-220-8499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 Union Ave Ste 1029",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381047509",
            "country_code": "US",
            "telephone_number": "317-220-8499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MA CLINICAL LABORATORY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MYKESHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-220-8499"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M.T. Boyle & Company, Inc.
• M&K Harrison LLC
• M&M Caring Transportation Services
• M&M Communications, P.C.
• M&M Personal Care Service
• Jiayi Ma, MD
• William Ma, MD
• Garrett Maag
• Jennifer Maahs, NP
• William Matthew Maakestad, DPT

• Health Service Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Health Service Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.