Provider Demographics
NPI:1336566066
Name:IRB MEDICAL EQUIPMENT, LLC
Entity Type:Organization
Organization Name:IRB MEDICAL EQUIPMENT, LLC
Other - Org Name:HART MEDICAL
Other - Org Type:Doing Business As
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 1:1000 HEALTH PARK BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-7324
Mailing Address - Country:US
Mailing Address - Phone:810-866-9441
Mailing Address - Fax:810-606-5255
Practice Address - Street 1:1900 COLUMBUS AVE
Practice Address - Street 2:ROOM #1142
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-6831
Practice Address - Country:US
Practice Address - Phone:989-894-9579
Practice Address - Fax:810-606-5255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-19
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5519490024Medicare NSC