Medicore Services LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MEDICORE SERVICES LLC

Practice address

15 Kane PL
Palm Coast, FL 32164-5687

Phone

(954) 901-0658

NPI assigned

Oct 27, 2026

Last updated

Oct 27, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Aazan Mohammad Khan

Title

Owner/Member

Phone

(954) 901-0658

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1793059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793059200000",
    "number": "1093613556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4539 N 22ND ST # 8070",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 KANE PL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645687",
            "telephone_number": "954-901-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICORE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-27",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AAZAN",
        "authorized_official_middle_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "954-901-0658"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.