Healthcare Provider Details

I. General information

NPI: 1205250198
Provider Name (Legal Business Name): IRB MEDICAL EQUIPMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2014
Last Update Date: 02/08/2022
Certification Date: 02/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 W GREENLAWN AVE SUITE A
LANSING MI
48910-2819
US

IV. Provider business mailing address

2284 S BALLENGER HWY STE A
FLINT MI
48503-3446
US

V. Phone/Fax

Practice location:
  • Phone: 517-993-0200
  • Fax: 517-975-6685
Mailing address:
  • Phone: 810-866-9441
  • Fax: 810-866-9967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MARVIN ALLEN HUNT
Title or Position: PRESIDENT
Credential:
Phone: 810-406-4477