Active NPI
MG Lab Services LLC.
- State or Local Public Health Clinic/Center
- Locust Grove, GA
National Provider Identifier
1508774589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- State or Local Public Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.