Provider Demographics
NPI:1477976181
Name:SAGE INC
Entity Type:Organization
Organization Name:SAGE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NATE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-388-6686
Mailing Address - Street 1:405 WALTHAM ST
Mailing Address - Street 2:SUITE 215
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-7934
Mailing Address - Country:US
Mailing Address - Phone:404-388-6686
Mailing Address - Fax:
Practice Address - Street 1:405 WALTHAM ST
Practice Address - Street 2:SUITE 215
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-7934
Practice Address - Country:US
Practice Address - Phone:404-388-6686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-31
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center