MEDICARE: TRUCORE DIAGNOSTIC LABORTORIES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1194683953
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUCORE DIAGNOSTIC LABORTORIES, LLC

Provider Business Mailing Address
First Line	:	5700 CROOKS RD STE 225
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48098-2840
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5700 CROOKS RD
Second Line	:	STE 225
City	:	TROY
State	:	MI
Zip	:	48098-2840
Country	:	US
Telephone Number	:	704-970-1803
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ENRICO FOXX
Credential	:
Telephone Number	:	980-315-3322

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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