Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sage Prairie Laboratory

Organization Other Specialist/Technologist · NPI 1164089447

Sage Prairie Laboratory is an Other Specialist/Technologist in Eagan, Minnesota. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1440 Duckwood Dr
Eagan, MN 55122-1451
Phone: (651) 238-5558
Fax: (612) 437-4992
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Specialist/Technologist (primary) Taxonomy 246Z00000X

Record details

NPI number1164089447
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedical Addiction Treatment Clinic
Authorized official Grant Pylkas — Executive Director · (651) 238-5558
Other names Sage Prairie Laboratory
NPI enumeratedMay 22, 2019
Last updated in NPPESMay 22, 2019
Mailing address1440 Duckwood Dr Ste 100, Eagan, MN 55122-1451