OrganizationActive
Sage Medical Group LLC
NPI 1164561528 · Clinical Medical Laboratory · Casper, WY
Provider details
- NPI number
- 1164561528
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Charles Moses, Chief Administrative Officer(307) 265-8300
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
419 S Washington Street
Suite 201
Casper, WY 82601
Phone: (307) 265-8300
Fax: (307) 265-8313
Street-level locationGet directions
Mailing address
Po Box 50750
Casper, WY 82605
Other names (DBA / former)
- Other name
- Sage Medical Group Laboratory
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.