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Contact Information

HEALING HANDS DIAGNOSTIC LAB LLC
2256 NORTHLAKE PKWY STE 110
TUCKER, GA30084-4012
 Phone: 678-387-9409
 Fax: 470-300-7993
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Health Service

261QH0100X
 

Military Clinical Medical Laboratory

291900000X B4[14] Histocompatibility Laboratory
Indicates primary specialty

NPI Profile & details for HEALING HANDS DIAGNOSTIC LAB LLC

NPI # 1780338517
LBN Legal business name HEALING HANDS DIAGNOSTIC LAB LLC
Authorized official STACI SLACK - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/10/2022
Last updated 09/02/2025 - About 9 months ago
Identifiers
GA Medicaid 003187979
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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