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General NPI Number Information
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NPI Number | 1275482689
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Entity Type | Organization
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Legal Business Name | MEDICORE LABS
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 1735 KELLER SPRINGS RD STE 106
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City | CARROLLTON
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State | TX
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Zip | 75006-2962
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Country | US
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Telephone | 945-216-9561
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Fax |
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Provider Business Mailing Address
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Address Line | 1735 KELLER SPRINGS RD STE 106
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City | CARROLLTON
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State | TX
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Zip | 75006-2962
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Country | US
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Telephone | 945-216-9561
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FNU MOHAMMED AJAZ
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Credential |
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Telephone | 945-261-9561
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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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