Provider Demographics
NPI:1720799695
Name:HEALTH SERVICES ALLIANCE LLC
Entity type:Organization
Organization Name:HEALTH SERVICES ALLIANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:LATRISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-805-0988
Mailing Address - Street 1:2414 SLATER ST SW
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-7700
Mailing Address - Country:US
Mailing Address - Phone:470-805-0988
Mailing Address - Fax:470-805-0104
Practice Address - Street 1:2535 DALLAS HIGHWAY SW
Practice Address - Street 2:STE B #1015
Practice Address - City:WEST MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-7700
Practice Address - Country:US
Practice Address - Phone:470-805-0988
Practice Address - Fax:470-805-0104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-12
Last Update Date:2024-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory