I guess I should go ahead and change the MD286 label on MD213 since it looks like I never did that. New label is BasAve since Basil Avenue is the one road that intersects the ramps from both directions. MD286 preserved as alt label since it's in use.
Otherwise the change to MD342 was made (and new September 2019 GMSV shows still no street sign) and MD286 it was concluded to leave alone, so this is resolved.