Provider Demographics
NPI:1952049983
Name:IRB MEDICAL EQUIPMENT LLC
Entity Type:Organization
Organization Name:IRB MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-406-4477
Mailing Address - Street 1:2284 S BALLENGER HWY STE A
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-3446
Mailing Address - Country:US
Mailing Address - Phone:810-866-9441
Mailing Address - Fax:810-866-9967
Practice Address - Street 1:1012 BELLEFONTAINE AVE STE B
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45804-2804
Practice Address - Country:US
Practice Address - Phone:419-429-7604
Practice Address - Fax:419-221-5992
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IRB MEDICAL EQUIPMENT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-20
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier