1134543028 NPI number — IRB MEDICAL EQUIPMENT, LLC

Table of content: (NPI 1134543028)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134543028 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:
1134543028
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/21/2023
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:
810-866-9967

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1375 N MAIN ST STE A-162
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAPEER
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48446-1350
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
810-882-6032
Provider Business Practice Location Address Fax Number:
810-664-0661
Provider Enumeration Date:
02/12/2014

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)