Organization
HEALING HANDS DIAGNOSTIC LAB LLC
Active
Organization
HEALING HANDS DIAGNOSTIC LAB LLC
Active
Other names
Healing Hands Diagnostic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
STACI SLACK (CHIEF EXECUTIVE OFFICER)
(678) 387-9409
Entity
Organization
Contact information
Practice address
2256 NORTHLAKE PKWY STE 110, TUCKER, GA 30084-4012
(678) 387-9409
(470) 300-7993
Mailing address
4440 IDLEWOOD PARK, LITHONIA, GA 30038-6247
(678) 387-9409
(470) 401-2551
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
291900000X
Military Clinical Medical Laboratory
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003187979
—
GA
Enumeration date
02/10/2022
Last updated
09/02/2025
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