Organization
SAGE PRAIRIE LABORATORY
Active
Parent organization
MEDICAL ADDICTION TREATMENT CLINIC
Other names
Sage Prairie laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL ADDICTION TREATMENT CLINIC
Authorized official
GRANT ARNOLD PYLKAS MMA (EXECUTIVE DIRECTOR)
(651) 238-5558
Entity
Organization
Contact information
Practice address
1440 DUCKWOOD DR, EAGAN, MN 55122-1451
(651) 238-5558
(612) 437-4992
Mailing address
1440 DUCKWOOD DR STE 100, EAGAN, MN 55122-1451
(651) 238-5558
(612) 437-4992
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us