Provider Demographics
NPI:1669292538
Name:SAGACITY SOLUTIONS, LLC
Entity type:Organization
Organization Name:SAGACITY SOLUTIONS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FARON
Authorized Official - Middle Name:C
Authorized Official - Last Name:BLANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-771-7357
Mailing Address - Street 1:2829 YOUREE DR STE 7
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71104-3640
Mailing Address - Country:US
Mailing Address - Phone:318-771-7357
Mailing Address - Fax:318-705-7701
Practice Address - Street 1:2829 YOUREE DR STE 7
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104-3640
Practice Address - Country:US
Practice Address - Phone:318-771-7357
Practice Address - Fax:318-705-7701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)