OrganizationSage Medical Group Llc(<Unavail>)Clinical Medical LaboratoryLaboratoriesPractice Address419 S Washington Street, Suite 201, Casper, WY 82601(307) 265-8300PECOS EnrollmentBased on the most recent information from CMS, provider Sage Medical Group Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1164561528Provider TypeOrganizationFull NameSage Medical Group LlcOther Name<Unavail>SubpartNoEnumeration Date2/5/2007Last Updated8/22/2020Contact InformationPractice LocationPractice Address419 S Washington Street, Suite 201, Casper, WY 82601Phone(307) 265-8300Fax(307) 265-8313Mailing LocationMailing AddressPO Box 50750, Casper, WY 82605Phone(307) 265-8300Fax(307) 265-8313Authorized OfficialNameMoses, Charles D (Chief Administrative Officer)Phone(307) 265-8300Provider TaxonomiesCodeDescriptionLicenseCode291U00000XPrimaryDescriptionClinical Medical LaboratoryLaboratoriesLicenseUnlisted IssuerWyoming