Crcort Mngmt Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CRCORT MNGMT CORP

Doing business as

Test Hub Express

Practice address

3100 S Congress Ave Ste 2
Boynton Beach, FL 33426-9051

Phone

(855) 754-3210

NPI assigned

Jan 20, 2022

Last updated

Jan 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yashica Ruffin, MD

Title

Medical Director

Phone

(919) 407-0031

Specialties & licenses 1

Addresses

Other names 1

• TEST HUB EXPRESS Doing business as

Locations

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1477205417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9921 W OKEECHOBEE RD APT 121D",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162131",
            "telephone_number": "305-790-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 S CONGRESS AVE STE 2",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334269051",
            "telephone_number": "855-754-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRCORT MNGMT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "RUFFIN",
        "authorized_official_first_name": "YASHICA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "919-407-0031",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEST HUB EXPRESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.