CROSSRIDGE PEDIATRICS & INTERNAL MEDICINE
NPI 1881795557
Specialist in Glen Allen, VA

Q: What is Bon Secours Memorial Regional Medical Center LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since September 26, 2006CLIA 49D1062557 · Waiver

10150 STAPLES MILL RD STE C, GLEN ALLEN, VA 23060(804) 755-7581(804) 755-7586 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 3, 2020, Jul 11, 2019 (2 updates tracked since 2019).

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About Crossridge Pediatrics & Internal Medicine NPPES

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

CROSSRIDGE PEDIATRICS & INTERNAL MEDICINE (NPI 1881795557) is a healthcare organization registered as a specialist in Glen Allen, Virginia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through December 17, 2027 and lists Wilbur Gay, Cfo, as its authorized official.

NPPES Registry Identity

NPI1881795557

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameBON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC

Location Address10150 STAPLES MILL RD STE CGlen Allen, VA 23060-3452

Mailing Address8580 Magellan PkwyRichmond, VA 23227-1149 · Fax (866) 449-0896

Phone(804) 755-7581

Fax(804) 755-7586

Organization SubpartNo

Authorized OfficialWilbur GayCfo · (864) 561-7672

Enumeration DateSeptember 26, 2006

Last NPPES UpdateSeptember 3, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2020

✔ NPI 1881795557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in VA · 0101054649

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedInternal Medicine · Adolescent MedicineTaxonomy 207RA0000X

Also ListedPediatricsTaxonomy 208000000X

10150 STAPLES MILL RD STE C, Glen Allen, VA 23060

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Other Names 1

Doing Business AsCrossridge Pediatrics & Internal Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 49D1062557

Crossridge Pediatrics And Internal Medicine · Glen Allen, VA

Active · expires Dec 17, 2027

CLIA Number49D1062557

Laboratory TypePhysician Office

Certificate Effective DateDecember 18, 2025

Certificate Expiration DateDecember 17, 2027

Laboratory DirectorClarence G. Childress

Laboratory Phone(804) 755-7581

Laboratory LocationCrossridge Pediatrics And Internal Medicine10150 Staples Mill Road Suite C, Glen Allen, VA 23060

CLIA data matches this NPI record on: Address 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 Bon Secours Memorial Regional Medical Center LLC's NPI number?

The NPI number for Bon Secours Memorial Regional Medical Center LLC is 1881795557. It was assigned to this organization in the NPPES registry on September 26, 2006. The provider is doing business as Crossridge Pediatrics & Internal Medicine.

Where is Bon Secours Memorial Regional Medical Center LLC located?

Bon Secours Memorial Regional Medical Center LLC is located at 10150 Staples Mill Rd Ste C, Glen Allen, VA 23060. The listed phone number is (804) 755-7581.

What is Bon Secours Memorial Regional Medical Center LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Bon Secours Memorial Regional Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1062557) is associated with this NPI, valid through December 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bon Secours Memorial Regional Medical Center LLC was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.