# MEDICORE DIAGNOSTIC LABORATORY CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386574234
- **Authorized official:** AMINA MUMTAZ AHMAD (OWNER)
- **Authorized official phone:** (307) 622-9550

## Contact information

- **Practice address:** 1895 MOON CACTUS CT, RUSKIN, FL 33570-5466
- **Practice address phone:** (307) 622-9550
- **Mailing address:** 1895 MOON CACTUS CT, RUSKIN, FL 33570-5466
- **Mailing address phone:** (307) 622-9550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/21/2026
- **Last updated:** 05/21/2026