Provider Demographics
NPI:1851124242
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 1:10203 CEDAR POND DR
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2906
Mailing Address - Country:US
Mailing Address - Phone:205-292-1514
Mailing Address - Fax:
Practice Address - Street 1:1455 LAKESIDE CIR
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-4144
Practice Address - Country:US
Practice Address - Phone:540-404-4828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-22
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies