Healthcare Provider Details

I. General information

NPI: 1891446308
Provider Name (Legal Business Name): MAYS MEDICAL ACADEMY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2022
Last Update Date: 04/10/2023
Certification Date: 04/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5226 S EAST ST STE A8
INDIANAPOLIS IN
46227-1982
US

IV. Provider business mailing address

5226 S EAST ST STE A8
INDIANAPOLIS IN
46227-1982
US

V. Phone/Fax

Practice location:
  • Phone: 317-476-5340
  • Fax:
Mailing address:
  • Phone: 317-969-8880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name: JASMINE MAY
Title or Position: FOUNDER/CEO
Credential: CPT
Phone: 317-969-8880