Provider Demographics
NPI:1659031433
Name:SAGIS PLLC
Entity Type:Organization
Organization Name:SAGIS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZING OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CANGELOSI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:877-697-2447
Mailing Address - Street 1:4131 DIRECTORS ROW
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092
Mailing Address - Country:US
Mailing Address - Phone:877-697-2447
Mailing Address - Fax:855-697-2445
Practice Address - Street 1:4131 DIRECTORS ROW
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092
Practice Address - Country:US
Practice Address - Phone:877-697-2447
Practice Address - Fax:855-697-2445
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAGIS PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-21
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory