ETL- NORTHEAST LLC
NPI 1396313813
Clinical Medical Laboratory in Doraville, GA

Active since June 11, 2021
3610 DEKALB TECHNOLOGY PKWY STE 125, DORAVILLE, GA 30340(888) 451-4440 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Etl- Northeast Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETL- NORTHEAST LLC (NPI 1396313813) is a healthcare organization registered as a clinical medical laboratory in Doraville, Georgia and active in the NPI registry since June 2021. The organization lists Jonathan Goss, Owner, as its authorized official.

NPPES Registry Identity

NPI1396313813
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameETL- NORTHEAST LLC
Location Address3610 DEKALB TECHNOLOGY PKWY STE 125Doraville, GA 30340-3607
Mailing Address2566 Shallowford Rd Ne Ste 104p367Atlanta, GA 30345-1249
Organization SubpartNo
Authorized OfficialJonathan GossOwner · (713) 819-6417
Enumeration DateJune 11, 2021
NPPES CertifiedJune 11, 2021
NPI 1396313813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(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 body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
3610 DEKALB TECHNOLOGY PKWY STE 125, Doraville, GA 30340

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Etl- Northeast LLC's NPI number?

The NPI number for Etl- Northeast LLC is 1396313813. It was assigned to this organization in the NPPES registry on June 11, 2021.

Where is Etl- Northeast LLC located?

Etl- Northeast LLC is located at 3610 Dekalb Technology Pkwy Ste 125, Doraville, GA 30340. The listed phone number is (888) 451-4440.

What is Etl- Northeast LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Etl- Northeast LLC was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.