Healing Hands Diagnostic Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

HEALING HANDS DIAGNOSTIC LAB LLC

Doing business as

Healing Hands Diagnostic LLC

Practice address

2256 Northlake Pkwy Ste 110
Tucker, GA 30084-4012

Phone

(678) 387-9409

Fax

(470) 300-7993

NPI assigned

Feb 10, 2022

Last updated

Sep 2, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Staci Slack

Title

Chief Executive Officer

Phone

(678) 387-9409

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Healing Hands Diagnostic LLC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1780338517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 IDLEWOOD PARK",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386247",
            "telephone_number": "678-387-9409",
            "fax_number": "470-401-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2256 NORTHLAKE PKWY STE 110",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844012",
            "telephone_number": "678-387-9409",
            "fax_number": "470-300-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS DIAGNOSTIC LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2025-09-02",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "SLACK",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE  OFFICER",
        "authorized_official_telephone_number": "678-387-9409"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291900000X",
            "taxonomy_group": "",
            "desc": "Military Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003187979",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Hands Diagnostic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Leroy Hatch, PH.D.
• Hannah Elizabeth Hathorn, M.ED. CCC-SLP
• Jurine D. Hatten, PT
• Jason R Haynes, NCC
• Mollie Christene Headrick, FNP
• Healing Outreach Purpose Empowerment
• Health-E LLC (Health-E Medical Center)
• Healthy Minds Psychology Associates Inc
• Luciana Heard, MFT
• Heart to Heart of Tucker LLLP (Heart to Heart Tucker LLLP)

• Clinical Medical Laboratory in Tucker, GA
• Providers in Tucker, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.