Organization
ADVANCED PATHOLOGY LABORATORY LLC
Active
Other names
APL, Lux Enterprises
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN GOSS M.D. (PRESIDENT)
(713) 819-6417
Entity
Organization
Contact information
Practice address
315 MESEROLE ST STE B3, BROOKLYN, NY 11206-1765
(516) 457-1806
Mailing address
13 CORPORATE BLVD NE STE 250, BROOKHAVEN, GA 30329-1901
(516) 457-1806
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
291U00000X
Clinical Medical Laboratory
181348
NY
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01876580
—
NY
Enumeration date
08/19/2015
Last updated
12/11/2023
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