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General NPI Number Information
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NPI Number | 1194659813
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Entity Type | Organization
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Legal Business Name | MEDCORE LABS INC
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 8571 NW SOUTH RIVER DR
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City | MEDLEY
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State | FL
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Zip | 33166-7426
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Country | US
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Telephone | 786-332-9082
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Fax | 800-701-6615
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Provider Business Mailing Address
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Address Line | 8571 NW SOUTH RIVER DR
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City | MEDLEY
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State | FL
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Zip | 33166-7426
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Country | US
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Telephone | 786-332-9082
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Fax | 800-701-6615
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Authorized Official
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Title or Position | OWNER
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Name | SASHA EVANOSKI
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Credential |
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Telephone | 786-332-9082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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