Mga Lab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MGA LAB INC

Practice address

1115 East 5TH
Mitchell, SD 57301-1003

Phone

(605) 996-5553

NPI assigned

Sep 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Lucio N Margallo II, MD

Title

Physician

Phone

(605) 996-5553

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1366544769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 E 5TH AVE",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012917",
            "telephone_number": "605-996-5553",
            "fax_number": "605-996-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 EAST 5TH",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573011003",
            "telephone_number": "605-996-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGA LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "MARGALLO",
        "authorized_official_first_name": "LUCIO",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "605-996-5553",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5585070",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Nivon Medrano, LPCA
• Benny Medrano
• Rachel Meester
• Ryan James Mentele, DPT
• Gary E Mentzel, PT
• Michael E Peterson MD PC
• Mid Dakota Podiatry
• Theresa Miiller, CNP
• Jai Mimmack
• Paul R Miskimins, DDS

• Clinical Medical Laboratory in Mitchell, SD
• Providers in Mitchell, SD by specialty
• Clinical Medical Laboratory in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.