NPI age
4 years
Enumerated 2021-06-11
● Active Type 2 · Organization
Etl- Northeast Llc
Etl- Northeast Llc is 1 of 621 clinical medical laboratory organizations in Georgia.
Primary specialty
Clinical Medical Laboratory
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Goss
Owner
Last NPPES update
2021-06-11
Source: monthly bulk 2026-05
How this organization compares
Across 621 active clinical medical laboratory providers in Georgia.
NPI age
4 years
≈ at median (5 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-06Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
3610 Dekalb Technology Pkwy Ste 125
Doraville, GA 303403607
Mailing address
2566 Shallowford Rd Ne Ste 104p367
Atlanta, GA 303451249
Authorized official
Jonathan Goss, MD
Owner
📞 7138196417
Specialties
-
Clinical Medical Laboratory Primary(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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