Etl- Northeast Llc

LBN: Etl- Northeast Llc
Etl- Northeast Llc is an health care organization with primary practice located at 3610 Dekalb Technology Pkwy Ste 125 , Doraville GA 30340-3607. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Etl- Northeast Llc can be contacted via phone (888) 451-4440, or through Goss, Jonathan via phone (713) 819-6417.

Contact Information

Primary practice address
3610 Dekalb Technology Pkwy Ste 125 Doraville GA 30340-3607
Phone: (888) 451-4440
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Goss, Jonathan Doctor of Medicine (MD)
Phone: (713) 819-6417

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1396313813
LBN Legal business name Etl- Northeast Llc
DBA Doing business as
Authorized official Goss, Jonathan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2021
Last updated Jun 11th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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