Healthcare Provider Details

I. General information

NPI: 1356727010
Provider Name (Legal Business Name): IRB MEDICAL EQUIPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2015
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 PINE GROVE AVE
PORT HURON MI
48060-3511
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 810-982-7631
  • Fax: 810-982-2120
Mailing address:
  • Phone: 810-866-9441
  • Fax: 810-606-5255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
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