MEDICARE: WEALTHHAUS DIAGNOSTICS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246RP1900X	Phlebotomy Technician

General Provider Information

NPI Number	:	1467396622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEALTHHAUS DIAGNOSTICS

Provider Business Mailing Address
First Line	:	154 RAINBOW WAY UNIT 463
Second Line	:
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30214-3994
Country	:	US
Telephone Number	:	404-617-5463
Fax Number	:

Provider Business Practice Location Address
First Line	:	119 POWERS FERRY ROAD
Second Line	:	SUITE 108
City	:	MARIETTA
State	:	GA
Zip	:	30067
Country	:	US
Telephone Number	:	404-617-5463
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SANTONIA COLEMAN
Credential	:	CPT
Telephone Number	:	404-617-5463

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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Directions to “WEALTHHAUS DIAGNOSTICS ” Practice Location

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