Organization
SAGE DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE VAN RENSBURG (PRESIDENT)
(215) 383-2043
Entity
Organization
Contact information
Practice address
701 S HOWARD AVE STE 258, TAMPA, FL 33606-2473
(215) 383-2043
Mailing address
701 S HOWARD AVE STE 258, TAMPA, FL 33606-2473
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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