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CLEBURNE MEDICAL CLINIC, INC.
NPI 1104891241
Clinic/Center in Heflin, AL

Active since February 22, 2006CLIA 01D0955108 · Microscopy
40 GILES ST, HEFLIN, AL 36264(256) 463-7454(256) 463-7725 Get Directions Write a Review

NPPES record last updated: February 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cleburne Medical Clinic, Inc. NPPES

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

CLEBURNE MEDICAL CLINIC, INC. (NPI 1104891241) is a healthcare organization registered as a clinic/center in Heflin, Alabama and active in the NPI registry since February 2006. The organization holds a CLIA Microscopy certificate valid through May 10, 2027 and lists Igor Bidikov, President And Owner, as its authorized official.

NPPES Registry Identity

NPI1104891241
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCLEBURNE MEDICAL CLINIC, INC.
Location Address40 GILES STHeflin, AL 36264-1738
Mailing Address40 Giles StHeflin, AL 36264-1738 · (256) 463-7454 · Fax (256) 463-7725
Phone(256) 463-7454
Fax(256) 463-7725
Organization SubpartNo
Authorized OfficialIgor BidikovPresident And Owner · (256) 463-7454
Enumeration DateFebruary 22, 2006
Last NPPES UpdateFebruary 6, 2008
✔ NPI 1104891241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
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).
40 GILES ST, Heflin, AL 36264
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Other Identifiers 2

OtherDB4844AL · Railroad Group Number
OtherP00108638AL · Railroad Medicare Prov Id

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 for Provider-Performed Microscopy Procedures (PPMP) 01D0955108

Cleburne Medical Clinic · Heflin, AL
Active · expires May 10, 2027
CLIA Number01D0955108
Laboratory TypePhysician Office
Certificate Effective DateMay 11, 2025
Certificate Expiration DateMay 10, 2027
Laboratory DirectorIgor Bidikov
Laboratory Phone(256) 463-7454
Laboratory LocationCleburne Medical Clinic40 Giles Street, Heflin, AL 36264
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

DR. IGOR BIDIKOV MD
Internal Medicine (Geriatric Medicine)
40 GILES ST
HEFLIN, AL 36264
Cleburne County (256) 463-7454

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 Cleburne Medical Clinic, Inc.'s NPI number?

The NPI number for Cleburne Medical Clinic, Inc. is 1104891241. It was assigned to this organization in the NPPES registry on February 22, 2006.

Where is Cleburne Medical Clinic, Inc. located?

Cleburne Medical Clinic, Inc. is located at 40 Giles St, Heflin, AL 36264. The listed phone number is (256) 463-7454.

What is Cleburne Medical Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Cleburne Medical Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 01D0955108) is associated with this NPI, valid through May 10, 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 Cleburne Medical Clinic, Inc. was last updated on February 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.