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Organization
SERVIQ LLC
Active
Organization
SERVIQ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS ANTHONY MORENO (MANGER)
(202) 998-4127
Entity
Organization
Contact information
Practice address
30 N GOULD ST STE 100, SHERIDAN, WY 82801-6317
(409) 419-3014
Mailing address
30 N GOULD ST STE 100, SHERIDAN, WY 82801-6317
(202) 998-4127
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
—
NULL
Other
Enumeration date
08/06/2025
Last updated
03/27/2026
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