Provider Demographics
NPI:1639054307
Name:MAYS, DIANE MARIE
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:MARIE
Last Name:MAYS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DIANE
Other - Middle Name:MARIE
Other - Last Name:MAYS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CROSSROADCARRIERSLLC
Mailing Address - Street 1:275 COLLEGE PARK DR APT D26
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-1659
Mailing Address - Country:US
Mailing Address - Phone:440-454-3462
Mailing Address - Fax:
Practice Address - Street 1:275 COLLEGE PARK DR APT D26
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-1659
Practice Address - Country:US
Practice Address - Phone:440-454-3462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRS920082172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty