Organization Active NPI

Sage Inc

  • Mobile Radiology Clinic/Center
  • Lexington, MA
National Provider Identifier
1477976181
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
SAGE INC
Practice address
405 Waltham St
Suite 215
Lexington, MA 02421-7934
Phone
(404) 388-6686
NPI assigned
Jan 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nate Hollander
Title
President
Phone
(404) 388-6686

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

405 Waltham St
Suite 215
Lexington, MA 02421-7934

Mailing address

405 Waltham St
Suite 215
Lexington, MA 02421-7934
Phone (404) 388-6686

National Provider Directory

National Provider Directory

Locations

405 Waltham St
Lexington, MA 02421
Phone (617) 396-7349

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1477976181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 WALTHAM ST",
            "address_2": "SUITE 215",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217934",
            "telephone_number": "404-388-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 WALTHAM ST",
            "address_2": "SUITE 215",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217934",
            "telephone_number": "404-388-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "HOLLANDER",
        "authorized_official_first_name": "NATE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-388-6686"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.