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Organization

MEDICORE DIAGNOSTIC LABORATORY CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMINA MUMTAZ AHMAD (CEO)
(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

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
04/27/2026
Last updated
04/27/2026
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