CROSSROADS TEMPE
NPI 1124872981
Clinic/Center in Tempe, AZ

NPI Status: Active since April 16, 2024

Contact Information

2115 E SOUTHERN AVE BLDG F
TEMPE, AZ
ZIP 85282
Phone: (602) 263-5242
Fax: (602) 595-4434

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  • Organization
  • Clinic/Center
  • CLIA Number: 03D2325204
  • CLIA Cert. Type: Other - BEH HEALTH TREATMENT CNTR
  • CLIA Exp. Date: 06-08-2027

About CROSSROADS TEMPE

This page provides the complete NPI Profile along with additional information for Crossroads Tempe, a provider established in Tempe, Arizona operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1124872981 assigned on April 2024. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is John Paul Mills (Claims Supervisor)

NPI
1124872981
Provider Name
CROSSROADS TEMPE
Entity Type
Organization
Location Address
2115 E SOUTHERN AVE BLDG F TEMPE, AZ 85282
Location Phone
(602) 263-5242
Location Fax
(602) 595-4434
Mailing Address
2002 E OSBORN RD PHOENIX, AZ 85016
Mailing Phone
(602) 263-5242
Mailing Fax
(602) 595-4434
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-16-2024
Last Update Date
04-18-2024
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN PAUL MILLS

Authorized Official Title
CLAIMS SUPERVISOR
Authorized Official Phone
(602) 263-5242

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
03D2325204
Facility Type
Other - BEH HEALTH TREATMENT CNTR
Certificate Effective Date
June 09, 2025
Certificate Expiration Date
June 08, 2027
Laboratory Director
MELISSA E. MORRISON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Crossroads Tempe 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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124872981, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 8 → 16 → 7 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 1 + 6 + 7 + 4 + 9 + 1 + 6 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1124872981.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124872981, enumerated as an "organization" on April 16, 2024.

The provider is located at 2115 E SOUTHERN AVE BLDG F TEMPE, AZ 85282 and the phone number is (602) 263-5242.

Clinic/Center with taxonomy code 261Q00000X.