1306261185 NPI number — IRB MEDICAL EQUIPMENT LLC

Table of content: MRS. KAREN GRACE TURNER MPT (NPI 1528143344)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306261185 NPI number — IRB MEDICAL EQUIPMENT LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
IRB MEDICAL EQUIPMENT LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HART MEDICAL EQUIPMENT
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306261185
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/08/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2284 S BALLENGER HWY STE A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FLINT
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48503-3446
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
810-866-9441
Provider Business Mailing Address Fax Number:
810-606-5255

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19401 HUBBARD DR
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
DEARBORN
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48126-2641
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-778-7055
Provider Business Practice Location Address Fax Number:
313-982-4474
Provider Enumeration Date:
03/03/2014

Additional Information

Authorized Official

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

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BX2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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