# MEDIVIO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265393540
- **Authorized official:** ABBAS MUHAMMAD MUJTABA (CEO)
- **Authorized official phone:** (609) 632-0212

## Contact information

- **Practice address:** 913 CRABB RIVER RD STE B, RICHMOND, TX 77469-5889
- **Practice address phone:** (609) 632-0212
- **Mailing address:** 913 CRABB RIVER RD STE B, RICHMOND, TX 77469-5889
- **Mailing address phone:** (609) 632-0212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 11/18/2025
- **Last updated:** 05/11/2026