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1396313813
ETL- NORTHEAST LLC
DORAVILLE, GA
NPI
1396313813
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Entity Type
Organization
Authorized Contact
JONATHAN GOSS
Owner
713-819-6417
Organization Subpart ?
No
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2021-06-11
Last Update Date
2021-06-11
Business Address
ETL- NORTHEAST LLC
3610 DEKALB TECHNOLOGY PKWY STE 125
DORAVILLE, GA 30340-3607
Phone number: 888-451-4440
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Mailing Address
ETL- NORTHEAST LLC
2566 SHALLOWFORD RD NE STE 104P367
ATLANTA, GA 30345-1249
Phone number:
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