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Organization

MEDIVIO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ABBAS MUHAMMAD MUJTABA (CEO)
(609) 632-0212
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
11/18/2025
Last updated
05/11/2026
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