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Organization
SAGE DIAGNOSTICS & IMAGING
Active
Organization
SAGE DIAGNOSTICS & IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J JOHANS M.D. (PRESIDENT/MEDICAL DIRECTOR)
(208) 367-3500
Entity
Organization
Contact information
Practice address
3875 E OVERLAND RD, MERIDIAN, ID 83642-9005
(208) 287-6588
(208) 898-3950
Mailing address
3875 E OVERLAND RD, MERIDIAN, ID 83642-9005
(208) 287-6588
(208) 898-3950
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
ID
Other
Enumeration date
11/21/2007
Last updated
11/21/2007
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