NPI 1962324038

Mystan LLC

Organisation Clinical Medical Laboratory Shelburne, VT

Practice location

Address: 145 Pine Haven Shores Rd STE 1000a, Shelburne, VT 05482-7812
Phone: (406) 309-6462

Authorised official

Name: Renato Namoc
Title: Owner
Phone: (406) 309-6462

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Vermont →

Registry record

NPI: 1962324038
Entity type: Organization
NPI issued: 29 Jul 2026
Record last updated: 29 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.