NPI 1164089447

Sage Prairie Laboratory

Organisation Other Specialist/Technologist Eagan, MN

Practice location

Address: 1440 Duckwood Dr, Eagan, MN 55122-1451
Phone: (651) 238-5558
Fax: (612) 437-4992
Mailing address: 1440 Duckwood Dr STE 100, Eagan, MN 55122-1451

Authorised official

Name: Grant Arnold Pylkas
Title: Executive Director
Phone: (651) 238-5558

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X

Other Specialist/Technologist, Other providers in Minnesota →

Registry record

NPI: 1164089447
Entity type: Organization
NPI issued: 22 May 2019
Record last updated: 22 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.