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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

Other

Enumeration date
08/06/2025
Last updated
03/27/2026
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