MEDICARE: MEDICORE LABS

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	:	1275482689
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICORE LABS

Provider Business Mailing Address
First Line	:	1735 KELLER SPRINGS RD STE 106
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75006-2962
Country	:	US
Telephone Number	:	945-216-9561
Fax Number	:

Provider Business Practice Location Address
First Line	:	1735 KELLER SPRINGS RD STE 106
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75006-2962
Country	:	US
Telephone Number	:	945-216-9561
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FNU MOHAMMED AJAZ
Credential	:
Telephone Number	:	945-261-9561

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

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Directions to “MEDICORE LABS ” Practice Location

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