Organization Active NPI

Health Services Alliance LLC

  • Clinical Medical Laboratory
  • West Marietta, GA
National Provider Identifier
1720799695
Registry record updated Jun 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.