Provider Demographics
NPI:1932579653
Name:ASPIRAR MEDICAL LAB LLC
Entity Type:Organization
Organization Name:ASPIRAR MEDICAL LAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PICK
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-977-9072
Mailing Address - Street 1:135 PARKWAY OFFICE CT
Mailing Address - Street 2:SUITE 105
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7424
Mailing Address - Country:US
Mailing Address - Phone:919-977-9072
Mailing Address - Fax:185-592-8484
Practice Address - Street 1:135 PARKWAY OFFICE CT
Practice Address - Street 2:SUITE 105
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7424
Practice Address - Country:US
Practice Address - Phone:919-977-9072
Practice Address - Fax:185-592-8484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-07
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC34D2102444291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8348Medicaid