Organization
MEDICORE DIAGNOSTIC LABORATORY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMINA MUMTAZ AHMAD (OWNER)
(307) 622-9550
Entity
Organization
Contact information
Practice address
1895 MOON CACTUS CT, RUSKIN, FL 33570-5466
(307) 622-9550
Mailing address
1895 MOON CACTUS CT, RUSKIN, FL 33570-5466
(307) 622-9550
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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