CROSSROADS CLINIC VOLUNTEERS IN MEDICINE
NPI 1053117598
General Practice in Lake St. Louis, MO
NPI Status: Active since February 24, 2025
Contact Information
10890 VETERANS MEMORIAL PARKWAY
LAKE ST. LOUIS, MO
ZIP 63367
Phone: (636) 561-3133
Fax: (636) 625-3534
- Organization
- General Practice
- CLIA Number: 26D2310068
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-25-2026
About CROSSROADS CLINIC VOLUNTEERS IN MEDICINE
This page provides the complete NPI Profile along with additional information for Crossroads Clinic Volunteers In Medicine, a primary care provider established in Lake St. Louis, Missouri operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1053117598 assigned on February 2025. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Maimuna Baig M.d. (Medical Director)
- NPI
- 1053117598
- Provider Name
- CROSSROADS CLINIC VOLUNTEERS IN MEDICINE
- Entity Type
- Organization
- Location Address
- 10890 VETERANS MEMORIAL PARKWAY LAKE ST. LOUIS, MO 63367
- Location Phone
- (636) 561-3133
- Location Fax
- (636) 625-3534
- Mailing Address
- 10890 VETERANS MEMORIAL PARKWAY LAKE ST. LOUIS, MO 63367
- Mailing Phone
- (636) 561-3133
- Mailing Fax
- (636) 625-3534
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-24-2025
- Last Update Date
- 02-24-2025
- Code Navigator
A primary care provider (PCP) like Crossroads Clinic Volunteers In Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D2310068
- Facility Type
- Physician Office
- Certificate Effective Date
- August 26, 2024
- Certificate Expiration Date
- August 25, 2026
- Laboratory Director
- MALMUNA BAIG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Crossroads Clinic Volunteers In Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 5 | 3 | 1 | 1 | 7 | 5 | 9 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 10 | 3 | 2 | 1 | 14 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 0 + 3 + 2 + 1 + 1 + 4 + 5 + 1 + 8 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1053117598 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053117598, enumerated in the NPI registry as an "organization" on February 24, 2025
The provider is located at 10890 Veterans Memorial Parkway Lake St. Louis, Mo 63367 and the phone number is (636) 561-3133
This medical organization specializes in General Practice with taxonomy code 208D00000X
The provider's CLIA number is 26D2310068 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on February 24, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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