Active NPI
Clinicalmedix LLC
- Clinical Medical Laboratory
- Decatur, GA
National Provider Identifier
1235045824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- CLINICALMEDIX LLC
- Practice address
- 1 W Court SQ Ste 325
Decatur, GA 30030-2576 - Phone
- (404) 483-7850
- NPI assigned
- Aug 21, 2026
- Last updated
- Aug 21, 2026
- Organization subpart
- No
NPPES NPI Registry
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
- (404) 483-7850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1 W Court SQ Ste 325
Decatur, GA 30030-2576
Mailing address
1 W Court SQ Ste 750
Decatur, GA 30030-2545
Phone (404) 483-7850
National Provider Directory
National Provider DirectoryLocations
1 W Court Sq
Ste 325
Decatur, GA 30030
Phone (470) 568-2781
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": "1235045824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 W COURT SQ STE 750",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302545",
"telephone_number": "404-483-7850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W COURT SQ STE 325",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302576",
"telephone_number": "404-483-7850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICALMEDIX 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": "404-483-7850"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, 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.