Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Etl- Northeast LLC

Organization Clinical Medical Laboratory · NPI 1396313813

Etl- Northeast LLC is a Clinical Medical Laboratory in Doraville, Georgia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3610 Dekalb Technology Pkwy Ste 125
Doraville, GA 30340-3607
Phone: (888) 451-4440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1396313813
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Goss — Owner · (713) 819-6417
NPI enumeratedJune 11, 2021
Last updated in NPPESJune 11, 2021
Certification dateJune 11, 2021
Mailing address2566 Shallowford Rd Ne Ste 104p367, Atlanta, GA 30345-1249

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