Organization Active NPI

MG Lab Services LLC.

  • Laboratory Management Specialist/Technologist
  • Locust Grove, GA
National Provider Identifier
1841102373
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Laboratory Management Specialist/TechnologistTaxonomy code 246QL0900X
Legal business name
MG LAB SERVICES LLC.
Practice address
480 Grove Park Dr
Locust Grove, GA 30248-4573
Phone
(404) 834-9934
Fax
(404) 834-9934
NPI assigned
Sep 21, 2026
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Marjorie Petit
Title
Owner
Phone
(404) 834-9934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Laboratory Management Specialist/Technologist 246QL0900X NU Primary

Addresses

Primary practice location

480 Grove Park Dr
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": "1789948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1841102373",
    "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",
            "fax_number": "404-834-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 GROVE PARK DR",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302484573",
            "telephone_number": "404-834-9934",
            "fax_number": "404-834-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG LAB SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-20",
        "status": "A",
        "authorized_official_last_name": "PETIT",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-834-9934"
    },
    "taxonomies": [
        {
            "code": "246QL0900X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management",
            "state": "NU",
            "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 Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.