# SAGE DIAGNOSTICS & IMAGING

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316128036
- **Authorized official:** DR. TIMOTHY J JOHANS M.D. (PRESIDENT/MEDICAL DIRECTOR)
- **Authorized official phone:** (208) 367-3500

## Contact information

- **Practice address:** 3875 E OVERLAND RD, MERIDIAN, ID 83642-9005
- **Practice address phone:** (208) 287-6588
- **Practice address fax:** (208) 898-3950
- **Mailing address:** 3875 E OVERLAND RD, MERIDIAN, ID 83642-9005
- **Mailing address phone:** (208) 287-6588
- **Mailing address fax:** (208) 898-3950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | ID | Yes |

## Other

- **Enumeration date:** 11/21/2007
- **Last updated:** 11/21/2007