Provider Demographics
NPI:1528860632
Name:CONCERGIX, LLC
Entity type:Organization
Organization Name:CONCERGIX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PEAKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-292-1514
Mailing Address - Street 1:2314 UNIVERSITY BLVD E
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35404-4136
Mailing Address - Country:US
Mailing Address - Phone:205-454-7398
Mailing Address - Fax:
Practice Address - Street 1:5409 BUGGS PL
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76126-5362
Practice Address - Country:US
Practice Address - Phone:817-634-7769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONCERGIX, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies