CROSSROADS TREATMENT CENTERS OF TENNESSEE, P.C.
NPI 1285599431
Clinical Medical Laboratory in Johnson City, TN

Active since December 19, 2025CLIA 44D2158347 · Certificate of Compliance
3114 BROWNS MILL RD, JOHNSON CITY, TN 37604(800) 805-6989(864) 558-8511 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 5, 2026, Dec 19, 2025 (2 updates tracked since 2025).

About Crossroads Treatment Centers Of Tennessee, P.c. NPPES

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

CROSSROADS TREATMENT CENTERS OF TENNESSEE, P.C. (NPI 1285599431) is a healthcare organization registered as a clinical medical laboratory in Johnson City, Tennessee and active in the NPI registry since December 2025. The organization holds a CLIA Certificate of Compliance certificate valid through January 3, 2028 and lists Rupert Mccormac, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1285599431
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameCROSSROADS TREATMENT CENTERS OF TENNESSEE, P.C.
Location Address3114 BROWNS MILL RDJohnson City, TN 37604-1417
Mailing AddressPo Box 749057Atlanta, GA 30374-9057 · (800) 805-6989 · Fax (864) 558-8511
Fax(864) 558-8511
Organization SubpartYes
Authorized OfficialRupert MccormacChief Executive Officer · (800) 805-6989
Enumeration DateDecember 19, 2025
Last NPPES UpdateJanuary 5, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
NPI 1285599431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

3114 BROWNS MILL RD, Johnson City, TN 37604

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 Compliance 44D2158347

Crossroads Treatment Centers Of Tennessee, PC Dba Crossroads Treatment Centers Johnson City · Johnson City, TN
Active · expires Jan 3, 2028
CLIA Number44D2158347
Laboratory TypePhysician Office
Certificate Effective DateJanuary 4, 2026
Certificate Expiration DateJanuary 3, 2028
Laboratory DirectorDr. Keivan A. Ettefagh
Laboratory Phone(877) 848-9810
Laboratory LocationCrossroads Treatment Centers Of Tennessee, PC Dba Crossroads Treatment Centers Johnson City3114 Browns Mill Road, Johnson City, TN 37604
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
3114 BROWNS MILL RD
JOHNSON CITY, TN 37604
Internal Medicine
3114 BROWNS MILL RD
JOHNSON CITY, TN 37604
Family Medicine (Addiction Medicine)
3114 BROWNS MILL RD
JOHNSON CITY, TN 37604
Community/Behavioral Health
3114 BROWNS MILL RD
JOHNSON CITY, TN 37604
Social Worker (Clinical)
3114 BROWNS MILL RD
JOHNSON CITY, TN 37604
Social Worker (Clinical)
3114 BROWNS MILL RD
JOHNSON CITY, TN 37604
Psychiatry & Neurology (Psychiatry)
3114 BROWNS MILL RD
JOHNSON CITY, TN 37604
Psychiatry & Neurology (Psychiatry)
3114 BROWNS MILL RD
JOHNSON CITY, TN 37604

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 Treatment Centers Of Tennessee, P.C.'s NPI number?

The NPI number for Crossroads Treatment Centers Of Tennessee, P.C. is 1285599431. It was assigned to this organization in the NPPES registry on December 19, 2025.

Where is Crossroads Treatment Centers Of Tennessee, P.C. located?

Crossroads Treatment Centers Of Tennessee, P.C. is located at 3114 Browns Mill Rd, Johnson City, TN 37604. The listed phone number is (800) 805-6989.

What is Crossroads Treatment Centers Of Tennessee, P.C.'s specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Crossroads Treatment Centers Of Tennessee, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D2158347) is associated with this NPI, valid through January 3, 2028. 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 Treatment Centers Of Tennessee, P.C. was last updated on January 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.