Provider Demographics
NPI:1982571873
Name:DRAKE PARTNERSHIP ALLIANCE LLC
Entity type:Organization
Organization Name:DRAKE PARTNERSHIP ALLIANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAB DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DRAKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-862-2455
Mailing Address - Street 1:2360 W CHARDONNAY LN
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-1326
Mailing Address - Country:US
Mailing Address - Phone:435-862-2455
Mailing Address - Fax:
Practice Address - Street 1:2376 RED CLIFFS DR STE 105
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-8367
Practice Address - Country:US
Practice Address - Phone:435-862-2455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical LaboratoryGroup - Single Specialty