NPIMap

Organization Active NPI

Medicore Diagnostic Laboratory Corporation

  • Urgent Care Clinic/Center
  • Ruskin, FL
National Provider Identifier
1386574234
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDICORE DIAGNOSTIC LABORATORY CORPORATION
Practice address
1895 Moon Cactus CT
Ruskin, FL 33570-5466
Phone
(307) 622-9550
NPI assigned
May 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Amina Mumtaz Ahmad
Title
Owner
Phone
(307) 622-9550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1895 Moon Cactus CT
Ruskin, FL 33570-5466

Mailing address

1895 Moon Cactus CT
Ruskin, FL 33570-5466
Phone (307) 622-9550

National Provider Directory

National Provider Directory
Tax ID family
Medicore Diagnostic Laboratory Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1386574234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 MOON CACTUS CT",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335705466",
            "telephone_number": "307-622-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 MOON CACTUS CT",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335705466",
            "telephone_number": "307-622-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICORE DIAGNOSTIC LABORATORY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "AMINA MUMTAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-622-9550"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruskin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.