Provider Demographics
NPI:1982021564
Name:ASPIRA LABS, INC.
Entity Type:Organization
Organization Name:ASPIRA LABS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-993-8311
Mailing Address - Street 1:12117 BEE CAVES RD
Mailing Address - Street 2:BUILDING 3 SUITE 100
Mailing Address - City:BEE CAVE
Mailing Address - State:TX
Mailing Address - Zip Code:78738-5349
Mailing Address - Country:US
Mailing Address - Phone:512-519-0400
Mailing Address - Fax:512-439-6980
Practice Address - Street 1:12117 BEE CAVES RD
Practice Address - Street 2:BUILDING 3 SUITE 100
Practice Address - City:BEE CAVE
Practice Address - State:TX
Practice Address - Zip Code:78738-5349
Practice Address - Country:US
Practice Address - Phone:512-869-4664
Practice Address - Fax:512-869-4114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-21
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45D2073394291U00000X
291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory