Healthcare Provider Details

I. General information

NPI: 1407786577
Provider Name (Legal Business Name): ASPIRE DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 E MERRICK RD STE 202
FREEPORT NY
11520-4004
US

IV. Provider business mailing address

9 E MERRICK RD STE 202
FREEPORT NY
11520-4004
US

V. Phone/Fax

Practice location:
  • Phone: 315-275-7206
  • Fax:
Mailing address:
  • Phone: 315-275-7206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR KULDEEP
Title or Position: DIRECTOR
Credential:
Phone: 315-275-7206