Active NPI
Crossroads Medical Staffing LLC
Doing business as Crossroads Clinical Labs
- Clinical Medical Laboratory
- Winston Salem, NC
National Provider Identifier
1972267219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- CROSSROADS MEDICAL STAFFING LLC
- Doing business as
- Crossroads Clinical Labs
Crossroads Home Care
Crossroads MedStaff - Practice address
- 615 Saint George Square CT Ste 300
Winston Salem, NC 27103-1368 - Phone
- (336) 860-1476
- NPI assigned
- Oct 22, 2021
- Last updated
- Oct 22, 2021
- Organization subpart
- Yes
- Parent organization
- CROSSROADS MEDICAL STAFFING LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tonya Lynette Higdon, RN, MSN, MBA
- Title
- Ceo/Managing Member
- Phone
- (336) 860-1476
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
615 Saint George Square CT Ste 300
Winston Salem, NC 27103-1368
Mailing address
804 Lee St Unit B
Kernersville, NC 27284-3143
Phone (336) 860-1476
Other names 3
- Crossroads Clinical Labs
- Crossroads Home Care
- Crossroads MedStaff
National Provider Directory
National Provider Directory- Part of
- Crossroads Medical Staffing LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634860800000",
"number": "1972267219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 LEE ST UNIT B",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272843143",
"telephone_number": "336-860-1476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 SAINT GEORGE SQUARE CT STE 300",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271031368",
"telephone_number": "336-860-1476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSROADS MEDICAL STAFFING LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CROSSROADS MEDICAL STAFFING LLC",
"enumeration_date": "2021-10-22",
"last_updated": "2021-10-22",
"certification_date": "2021-10-22",
"status": "A",
"authorized_official_last_name": "HIGDON",
"authorized_official_first_name": "TONYA",
"authorized_official_middle_name": "LYNETTE",
"authorized_official_title_or_position": "CEO/MANAGING MEMBER",
"authorized_official_telephone_number": "336-860-1476",
"authorized_official_credential": "RN, MSN, MBA"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Crossroads Clinical Labs",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Crossroads Home Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Crossroads MedStaff",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winston Salem, NC
- Elizabeth Burke Cross, NP-C
- Karen L Cross, M.D.
- Kelli B Cross, MOTRL
- Rachel Cross, CRNA
- Brooke Laura Crossley, M.D.
- Crossroads Unlimited, LLC (Crossroads Medical Services)
- Lauren Elizabeth Fletcher Crotts, MSN, MBA, APRN,FNP-C
- Ashley Kristen Miller Crowder, M.D.
- Jonathan Robert Crowder, PT
- Sakeitha L'Tia Crowder, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.