Organization Active NPI

MG Lab Services LLC.

  • State or Local Public Health Clinic/Center
  • Locust Grove, GA
National Provider Identifier
1508774589
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
MG LAB SERVICES LLC.
Practice address
480 Grove Park Dr # 30248
Locust Grove, GA 30248-4573
Phone
(404) 834-9934
NPI assigned
Aug 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Marjoriei Petit, OWNERSHIP
Title
Owner
Phone
(404) 834-9934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

480 Grove Park Dr # 30248
Locust Grove, GA 30248-4573

Mailing address

480 Grove Park Dr
Locust Grove, GA 30248-4573
Phone (404) 834-9934

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1508774589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 GROVE PARK DR",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302484573",
            "telephone_number": "404-834-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 GROVE PARK DR # 30248",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302484573",
            "telephone_number": "404-834-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG LAB SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "PETIT",
        "authorized_official_first_name": "MARJORIEI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-834-9934",
        "authorized_official_credential": "OWNERSHIP"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Grove, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.