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MYSTIC MEDICAL EQUIPMENT INCORPORATED
NPI 1861678831
Durable Medical Equipment & Medical Supplies in Grosse Pointe Woods, MI

Active since January 21, 2008
20467 MACK AVE, GROSSE POINTE WOODS, MI 48236(313) 347-8811 Get Directions Write a Review

NPPES record last updated: August 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mystic Medical Equipment Incorporated NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYSTIC MEDICAL EQUIPMENT INCORPORATED (NPI 1861678831) is a healthcare organization registered as a durable medical equipment & medical supplies in Grosse Pointe Woods, Michigan and active in the NPI registry since January 2008. The organization lists Dawn Fleeson, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1861678831
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMYSTIC MEDICAL EQUIPMENT INCORPORATED
Location Address20467 MACK AVEGrosse Pointe Woods, MI 48236-1654
Mailing AddressPo Box 250843West Bloomfield, MI 48325-0843
Phone(313) 347-8811
Organization SubpartNo
Authorized OfficialDawn FleesonBilling Manager · (248) 476-8811
Enumeration DateJanuary 21, 2008
Last NPPES UpdateAugust 15, 2011
✔ NPI 1861678831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
20467 MACK AVE, Grosse Pointe Woods, MI 48236
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Other Identifiers 1

Medicare NSC0431980002MI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mystic Medical Equipment Incorporated's NPI number?

The NPI number for Mystic Medical Equipment Incorporated is 1861678831. It was assigned to this organization in the NPPES registry on January 21, 2008.

Where is Mystic Medical Equipment Incorporated located?

Mystic Medical Equipment Incorporated is located at 20467 Mack Ave, Grosse Pointe Woods, MI 48236. The listed phone number is (313) 347-8811.

What is Mystic Medical Equipment Incorporated's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Mystic Medical Equipment Incorporated was last updated on August 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.