MEDICARE: IRB MEDICAL EQUIPMENT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1649949934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IRB MEDICAL EQUIPMENT LLC

Provider Business Mailing Address
First Line	:	2284 S BALLENGER HWY STE A
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48503-3446
Country	:	US
Telephone Number	:	810-866-9441
Fax Number	:	810-866-9967

Provider Business Practice Location Address
First Line	:	1211 OAK HARBOR RD
Second Line	:
City	:	FREMONT
State	:	OH
Zip	:	43420-1020
Country	:	US
Telephone Number	:	419-332-4938
Fax Number	:	419-332-3384

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARVIN ALLEN HUNT
Credential	:
Telephone Number	:	810-406-4477

Provider Enumeration Date	:	09/09/2021
Last Update Date	:	08/26/2025

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