Organization Name: | IRB MEDICAL EQUIPMENT LLC |
NPI Number: | 1003231895 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH GERALD FASSE (MANAGER) |
Mailing Address: | 6777 W Maple Rd West Bloomfield |
State: | MI US |
Postal Code: | 483223013 |
Phone Number: | 2488627214 |
Fax Number: | 2486617936 |
NPI Enumeration Date: | 03/03/2014 |
NPI Last Update Date: | 02/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |