Healthcare Provider Details

I. General information

NPI: 1982021564
Provider Name (Legal Business Name): ASPIRA LABS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2014
Last Update Date: 06/30/2023
Certification Date: 06/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12117 BEE CAVES RD BUILDING 3 SUITE 100
BEE CAVE TX
78738-5349
US

IV. Provider business mailing address

12117 BEE CAVES RD BUILDING 3 SUITE 100
BEE CAVE TX
78738-5349
US

V. Phone/Fax

Practice location:
  • Phone: 512-869-4664
  • Fax: 512-869-4114
Mailing address:
  • Phone: 512-519-0400
  • Fax: 512-439-6980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number45D2073394
License Number StateTX

VIII. Authorized Official

Name: NICOLE SANDFORD
Title or Position: CEO
Credential:
Phone: 203-993-8311