Active NPI
Health Services Alliance LLC
- Clinical Medical Laboratory
- West Marietta, GA
National Provider Identifier
1720799695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- HEALTH SERVICES ALLIANCE LLC
- Practice address
- 2535 Dallas Highway SW
Ste B #1015
West Marietta, GA 30064-7700 - Phone
- (470) 805-0988
- Fax
- (470) 805-0104
- NPI assigned
- Dec 12, 2022
- Last updated
- Jun 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Latrisha Adams
- Title
- Chief Executive Officer
- Phone
- (470) 805-0988
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
2535 Dallas Highway SW
Ste B #1015
West Marietta, GA 30064-7700
Mailing address
2414 Slater St SW
Marietta, GA 30064-7700
Phone (470) 805-0988
National Provider Directory
National Provider DirectoryLocations
2535 Dallas Hwy SW
Ste B
Marietta, GA 30064
Phone (470) 502-6080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719705600000",
"number": "1720799695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2414 SLATER ST SW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300647700",
"telephone_number": "470-805-0988",
"fax_number": "470-805-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2535 DALLAS HIGHWAY SW",
"address_2": "STE B #1015",
"city": "WEST MARIETTA",
"state": "GA",
"postal_code": "300647700",
"telephone_number": "470-805-0988",
"fax_number": "470-805-0104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH SERVICES ALLIANCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-12",
"last_updated": "2024-06-30",
"certification_date": "2024-06-30",
"status": "A",
"authorized_official_last_name": "ADAMS",
"authorized_official_first_name": "LATRISHA",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "470-805-0988",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.