- Practice location
- 145 Pine Haven Shores RD Ste 1000A, Shelburne, VT 05482-7812
- Phone
- 406-309-6462
- Fax
- —
- Last updated
- July 29, 2026
Mystan LLC is a healthcare organization based in Shelburne, VT. Mystan LLC practices in Shelburne, VT. The NPI Number for Mystan LLC is 1861314932. The current practice location address for Mystan LLC is 145 Pine Haven Shores RD Ste 1000A, Shelburne, VT 05482-7812 and can be reached out via phone at 406-309-6462.
Provider Profile Details
- NPI Number
- 1861314932
- Provider Name
- Mystan LLC
- Provider Entity Type
- Organization
- Address
- 145 Pine Haven Shores RD Ste 1000A, Shelburne, VT 05482-7812
- Phone Number
- 406-309-6462
- Primary Taxonomy
- Clinic/Center, Radiology · 261QR0200X
- Organization Subpart
- No
- Authorized Official
- Renato Namoc · Owner · 406-309-6462
- Provider Enumeration Date
- July 29, 2026
- Last Update Date
- July 29, 2026
- Certification Date
- July 29, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 145 Pine Haven Shores RD Ste 1000A
Shelburne, VT 05482-7812 - City
- Shelburne
- State
- Vermont
- Zip
- 05482-7812
- Phone Number
- 406-309-6462
Provider Business Mailing Address Details
- Address
- 145 Pine Haven Shores RD Ste 1000A
Shelburne, VT 05482-7812 - City
- Shelburne
- State
- VT
- Zip
- 05482-7812
- Phone Number
- 406-309-6462
License Information
- Taxonomy
- Clinic/Center, Radiology · 261QR0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mystan LLC?
The NPI number of Mystan LLC is 1861314932. It was assigned on July 29, 2026 and is currently active in the NPPES registry.
What is the specialty of Mystan LLC?
Mystan LLC is registered under the primary taxonomy Clinic/Center, Radiology (code 261QR0200X).
Where does Mystan LLC practice?
The practice location is 145 Pine Haven Shores RD Ste 1000A, Shelburne, VT 05482-7812. The office can be reached at 406-309-6462 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861314932 directly on the NPPES registry website.