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SAGE PRAIRIE LABORATORY
NPI 1164089447
Specialist/Technologist, Other in Eagan, MN

Active since May 22, 2019
1440 DUCKWOOD DR, EAGAN, MN 55122(651) 238-5558(612) 437-4992 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sage Prairie Laboratory NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAGE PRAIRIE LABORATORY (NPI 1164089447) is a healthcare organization registered as a specialist/technologist, other in Eagan, Minnesota and active in the NPI registry since May 2019. The organization lists Grant Arnold Pylkas, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1164089447
Entity TypeOrganization
Primary Taxonomy246Z00000X
Legal Business NameSAGE PRAIRIE LABORATORY
Location Address1440 DUCKWOOD DREagan, MN 55122-1451
Mailing Address1440 Duckwood Dr Ste 100Eagan, MN 55122-1451 · (651) 238-5558 · Fax (612) 437-4992
Phone(651) 238-5558
Fax(612) 437-4992
Organization SubpartYesParent: Medical Addiction Treatment Clinic
Authorized OfficialGrant Arnold PylkasExecutive Director · (651) 238-5558
Enumeration DateMay 22, 2019
✔ NPI 1164089447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246Z00000X
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
1440 DUCKWOOD DR, Eagan, MN 55122
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Other Names 1

Doing Business AsSage Prairie Laboratory

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHRISTIAN ANTONY DAWSON PT
Physical Therapist
1440 DUCKWOOD DR
EAGAN, MN 55122
Dakota County (952) 808-3000
BRAIDY SCOTT SOLIE PT, DPT, CSCS
Physical Therapist
1440 DUCKWOOD DR
EAGAN, MN 55122
Dakota County (952) 808-3000
SARAH ANN NUNDAHL DO
Chiropractor
1440 DUCKWOOD DR
EAGAN, MN 55122
Dakota County (651) 688-7857
SARAH MCINTIRE
Internal Medicine
1440 DUCKWOOD DR
EAGAN, MN 55122
Dakota County (651) 406-8860
ERIN ELIZABETH MCCARVILLE MD
Internal Medicine
1440 DUCKWOOD DR
EAGAN, MN 55122
Dakota County (651) 406-8880
MR. JONATHAN H SCHOENECKER DPT, CSCS
Physical Therapist
1440 DUCKWOOD DR
EAGAN, MN 55122
Dakota County (952) 808-3000
CHRISTOPHER W SMITH CPRS
Peer Specialist
1440 DUCKWOOD DR
EAGAN, MN 55122
Dakota County (612) 405-2180
JANINE PINGEL MD
Internal Medicine
1440 DUCKWOOD DR
EAGAN, MN 55122
Dakota County (651) 406-8880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sage Prairie Laboratory's NPI number?

The NPI number for Sage Prairie Laboratory is 1164089447. It was assigned to this organization in the NPPES registry on May 22, 2019.

Where is Sage Prairie Laboratory located?

Sage Prairie Laboratory is located at 1440 Duckwood Dr, Eagan, MN 55122. The listed phone number is (651) 238-5558.

What is Sage Prairie Laboratory's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

When was this NPI record last updated?

The NPPES record for Sage Prairie Laboratory was last updated on May 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.