OrganizationActive
Sage Prairie Laboratory
NPI 1164089447 · Other Specialist/Technologist · Eagan, MN
Provider details
- NPI number
- 1164089447
- Entity type
- Organization
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Parent organization
- Medical Addiction Treatment Clinic
- Organization subpart
- Yes
- Authorized official
- Grant Pylkas, Executive Director(651) 238-5558
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1440 Duckwood Dr
Eagan, MN 55122-1451
Phone: (651) 238-5558
Fax: (612) 437-4992
Street-level locationGet directions
Mailing address
1440 Duckwood Dr Ste 100
Eagan, MN 55122-1451
Other names (DBA / former)
- Doing business as
- Sage Prairie Laboratory
Registry dates
- Enumerated
- 2019-05-22
- Last updated
- 2019-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.