Organization
MGM LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK G MCGINLEY (CEO)
(561) 674-6292
Entity
Organization
Contact information
Practice address
11350 SW VILLAGE PKWY STE 314, PORT ST LUCIE, FL 34987-2352
(561) 674-6292
Mailing address
11350 SW VILLAGE PKWY STE 314, PORT ST LUCIE, FL 34987-2352
(561) 674-6292
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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