| NPI | 1164089447 |
|---|---|
| Doing Business As | SAGE PRAIRIE LABORATORY |
| Entity Type | Organization |
| Authorized Contact | GRANT ARNOLD PYLKAS Executive Director 651-238-5558 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |