Etl- Northeast LLC

NPI #1396313813 in Doraville, Georgia

Provider Information

NPI Number
1396313813
Entity Type
Organization
Organization Name
Etl- Northeast LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Jun 11, 2021
Last Updated
Jun 11, 2021

Practice Location

Address
3610 DEKALB TECHNOLOGY PKWY STE 125
State
Georgia
ZIP Code
30340-3607
Phone
(888) 451-4440

Authorized Official

Name
JONATHAN GOSS, MD
Title
OWNER
Phone
(713) 819-6417

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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