MG Screening Services, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MG SCREENING SERVICES, LLC

Practice address

1425 N Dallas Ave Ste 217
Lancaster, TX 75134-3266

Phone

(972) 803-3159

Fax

(972) 803-3514

NPI assigned

Jun 4, 2024

Organization subpart

No

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

Authorized official

Name

Tayanna Gray

Title

Owner

Phone

(972) 803-3159

Specialties & licenses 1

Addresses

Other names 2

• www.mgscreeningservices.com Former legal business name
• MG Screening Services, LLC Other name

Locations

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1902647803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 N DALLAS AVE STE 217",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751343266",
            "telephone_number": "972-803-3159",
            "fax_number": "972-803-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N DALLAS AVE STE 217",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751343266",
            "telephone_number": "972-803-3159",
            "fax_number": "972-803-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG SCREENING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "TAYANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-803-3159"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "www.mgscreeningservices.com",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "MG Screening Services, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Multi-Specialty Clinic/Center in Lancaster, TX
• Providers in Lancaster, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.