NPI 1164561528

Sage Medical Group LLC

Organisation Clinical Medical Laboratory Casper, WY

Practice location

Address: 419 S Washington Street Suite 201, Casper, WY 82601
Phone: (307) 265-8300
Fax: (307) 265-8313
Mailing address: PO Box 50750, Casper, WY 82605

Authorised official

Name: Charles D Moses
Title: Chief Administrative Officer
Phone: (307) 265-8300

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Wyoming →

Registry record

NPI: 1164561528
Entity type: Organization
NPI issued: 5 Feb 2007
Record last updated: 22 Aug 2020

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.