Just wanted to post an update that i got this resolved. For others that might be looking to do something similar, there were 2 things I did that seemed to magically fix my issue.
The first was I installed the service without any other config changes, then copied those files found the dicom installation directory over to be my complete source package. I am assuming there is some other tweak/dependency file that must be created in the directory after going through the "gui" install, but totally speculation. Just had to do it to get things to work.
Second, I went ahead and adjusted my script to cast the hostname to all caps. I wasn't doing that so my service was being installed as t0test rather than T0TEST. Not sure if that matters, but again, in combo with change number 1, things are working now.