Organization Active NPI

Boostcare LLC

  • Clinical Medical Laboratory
  • Lawrenceville, GA
National Provider Identifier
1134035728
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BOOSTCARE LLC
Practice address
1755 N Brown Rd FL 1
Lawrenceville, GA 30043-8198
Phone
(470) 504-9902
NPI assigned
Aug 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mahboob Shaik
Title
Ceo/Owner
Phone
(470) 504-9902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1755 N Brown Rd FL 1
Lawrenceville, GA 30043-8198

Mailing address

1755 N Brown Rd Ste 200
Lawrenceville, GA 30043-2018
Phone (470) 504-9902

National Provider Directory

National Provider Directory

Locations

1755 N Brown Rd
Fl 1
Lawrenceville, GA 30043

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1134035728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 N BROWN RD STE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300432018",
            "telephone_number": "470-504-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 N BROWN RD FL 1",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438198",
            "telephone_number": "470-504-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOSTCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "SHAIK",
        "authorized_official_first_name": "MAHBOOB",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "470-504-9902"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.