Organization
ADVANCED PATHOLOGY LABORATORY LLC
Active
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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