Organization Active NPI

Crossroads Medical Staffing LLC

Doing business as Crossroads Clinical Labs

  • Clinical Medical Laboratory
  • Winston Salem, NC
National Provider Identifier
1972267219
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CROSSROADS MEDICAL STAFFING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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)CodeLicenseStatePrimary
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 Doing business as
  • Crossroads Home Care Doing business as
  • Crossroads MedStaff Doing business as

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

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.

Verify at the official NPI Registry.