SAGE CLINIC NPI 1285003335

NPI Information

  • NPI: 1285003335
  • Provider Name: SAGE CLINIC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: ONSITE CARE SAGE CLINIC
  • CLIA Number: 46D2064949
  • Address: 7285 WEST 21200 NORTH
    PLYMOUTH, UT
    ZIP 84330
  • Phone: (435) 458-9205

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NPI Details

SAGE CLINIC is a primary care clinic center in Plymouth, UT. SAGE CLINIC NPI is 1285003335. The provider is registered as an organization entity type.
The provider Is Doing Business As Onsite Care Sage Clinic.

The provider's business location address is:

7285 WEST 21200 NORTH
PLYMOUTH, UT
ZIP 84330
Phone: (435) 458-9205
Fax: (435) 458-2361

The provider's authorized official is Darce Latsis .
The authorized official title is Operations Manager and has the following contact phone number (801) 441-1002.

The CLIA number assigned to this NPI record is 46D2064949 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/18/2015 and was last updated on 1/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care70619161204UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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