MG Lab Services LLC.

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

Last updated

Aug 31, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marjoriei Petit, OWNERSHIPNPI 1154120624

Title

Owner

Phone

(404) 834-9934

Specialties & licenses 1

Addresses

Tax ID family

MG Lab Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• MG Lab Services LLC.

  • Laboratory Management Specialist/Technologist
  • Locust Grove, GA
  • NPI 1841102373
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marjoriei Petit, CCMA, HEALTHCARE MAN

  • Clinical Laboratory Director (Non-physician)
  • Locust Grove, GA
  • NPI 1154120624
  NPD (past) Authorized official

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": []
}

• Kayla Marshall
• Caroline Masanje, FNP
• McCoy Lab Services LLC
• Chelsea McLendon, PT, DPT
• Lauren Makenna Meadows, FNP
• MG Lab Services LLC.
• Michelle Gwyn DDS, PC (Perfect Portrait Family Dentistry)
• Laura J Miller, PT, DPT
• Tessa Ree Mingo
• Mint Medical Supplies LLC

• State or Local Public Health Clinic/Center in Locust Grove, GA
• Providers in Locust Grove, GA by specialty
• State or Local Public Health Clinic/Center in Georgia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.