OrganizationActive
Etl- Northeast LLC
NPI 1396313813 · Clinical Medical Laboratory · Doraville, GA
Etl- Northeast LLC is a Clinical Medical Laboratory organization in Doraville, GA (NPI 1396313813).
Provider details
- NPI number
- 1396313813
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Jonathan Goss, Owner(713) 819-6417
Specialties & taxonomies
Laboratories
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3610 Dekalb Technology Pkwy Ste 125
Doraville, GA 30340-3607
Phone: (888) 451-4440
Street-level locationGet directions
Mailing address
2566 Shallowford Rd Ne Ste 104p367
Atlanta, GA 30345-1249
Registry dates
- Enumerated
- 2021-06-11
- Last updated
- 2021-06-11
- Certified
- 2021-06-11
Frequently asked questions
- What is Etl- Northeast LLC's NPI number?
- Etl- Northeast LLC's National Provider Identifier (NPI) is 1396313813, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Etl- Northeast LLC?
- Etl- Northeast LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Etl- Northeast LLC located?
- Etl- Northeast LLC's practice location on file with NPPES is 3610 Dekalb Technology Pkwy Ste 125, Doraville, GA 30340-3607.
- What is Etl- Northeast LLC's phone number?
- The practice phone number listed in the NPPES registry for Etl- Northeast LLC is (888) 451-4440.
- Who is the authorized official for Etl- Northeast LLC?
- The authorized official listed on Etl- Northeast LLC's NPPES record is Jonathan Goss, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Etl- Northeast LLC's NPI active?
- Yes — Etl- Northeast LLC's NPI (1396313813) is active in the NPPES registry as of the last update on 2021-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.