SAGE DIAGNOSTICS & IMAGING NPI 1316128036

NPI Information

SAGE DIAGNOSTICS & IMAGING is a magnetic resonance imaging (mri) clinic center in Meridian, ID. SAGE DIAGNOSTICS & IMAGING NPI is 1316128036. The provider is registered as an organization entity type.

The provider's business location address is:

3875 E OVERLAND RD
MERIDIAN, ID
ZIP 83642-005
Phone: (208) 287-6588
Fax: (208) 898-3950

The provider's authorized official is Timothy J Johans .
The authorized official title is President/medical Director and has the following contact phone number (208) 367-3500.

The CLIA number assigned to this NPI record is 13D2172956 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2007 and was last updated on 11/21/2007.

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:

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