CROSSROADS CLINIC VOLUNTEERS IN MEDICINE
NPI 1053117598
General Practice in Lake St. Louis, MO

Q: What is Crossroads Clinic Volunteers In Medicine's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since February 24, 2025CLIA 26D2310068 · Waiver

10890 VETERANS MEMORIAL PARKWAY, LAKE ST. LOUIS, MO 63367(636) 561-3133(636) 625-3534 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Crossroads Clinic Volunteers In Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CROSSROADS CLINIC VOLUNTEERS IN MEDICINE (NPI 1053117598) is a healthcare organization registered as a general practice in Lake St. Louis, Missouri and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through August 25, 2026 and lists Maimuna Baig, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1053117598

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameCROSSROADS CLINIC VOLUNTEERS IN MEDICINE

Location Address10890 VETERANS MEMORIAL PARKWAYLake St. Louis, MO 63367

Mailing Address10890 Veterans Memorial ParkwayLake St. Louis, MO 63367 · (636) 561-3133 · Fax (636) 625-3534

Phone(636) 561-3133

Fax(636) 625-3534

Organization SubpartNo

Authorized OfficialMaimuna BaigMedical Director · (636) 561-3133

Enumeration DateFebruary 24, 2025

✔ NPI 1053117598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

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

10890 VETERANS MEMORIAL PARKWAY, Lake St. Louis, MO 63367

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2310068

Crossroads Clinic Volunteers In Medicine · Wentzville, MO

Active · expires Aug 25, 2026

CLIA Number26D2310068

Laboratory TypePhysician Office

Certificate Effective DateAugust 26, 2024

Certificate Expiration DateAugust 25, 2026

Laboratory DirectorMalmuna Baig

Laboratory Phone(636) 561-3133

Laboratory LocationCrossroads Clinic Volunteers In Medicine1021 Wentzville Parkway, Suite C, Wentzville, MO 63385

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crossroads Clinic Volunteers In Medicine's NPI number?

The NPI number for Crossroads Clinic Volunteers In Medicine is 1053117598. It was assigned to this organization in the NPPES registry on February 24, 2025.

Where is Crossroads Clinic Volunteers In Medicine located?

Crossroads Clinic Volunteers In Medicine is located at 10890 Veterans Memorial Parkway, Lake St. Louis, MO 63367. The listed phone number is (636) 561-3133.

What is Crossroads Clinic Volunteers In Medicine's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Crossroads Clinic Volunteers In Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2310068) is associated with this NPI, valid through August 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Crossroads Clinic Volunteers In Medicine was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.