Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MYSTAN LLC
NPI 1962324038
Clinical Medical Laboratory in Shelburne, VT

Active since July 29, 2026
145 PINE HAVEN SHORES RD STE 1000A, SHELBURNE, VT 05482(406) 309-6462 Get Directions Write a Review

NPPES record added: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mystan Llc NPPES

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

MYSTAN LLC (NPI 1962324038) is a healthcare organization registered as a clinical medical laboratory in Shelburne, Vermont and active in the NPI registry since July 2026. The organization lists Renato Namoc, Owner, as its authorized official.

NPPES Registry Identity

NPI1962324038
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameMYSTAN LLC
Location Address145 PINE HAVEN SHORES RD STE 1000AShelburne, VT 05482-7812
Mailing Address145 Pine Haven Shores Rd Ste 1000aShelburne, VT 05482-7812 · (406) 309-6462
Organization SubpartNo
Authorized OfficialRenato NamocOwner · (406) 309-6462
Enumeration DateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
NPI 1962324038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
145 PINE HAVEN SHORES RD STE 1000A, Shelburne, VT 05482

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nursing Care
145 PINE HAVEN SHORES RD STE 1000A
SHELBURNE, VT 05482
Behavior Analyst
145 PINE HAVEN SHORES RD STE 1000A
SHELBURNE, VT 05482
Social Worker (Clinical)
145 PINE HAVEN SHORES RD STE 1000A
SHELBURNE, VT 05482
Technician, Pathology (Phlebotomy)
145 PINE HAVEN SHORES RD STE 1000A
SHELBURNE, VT 05482
In Home Supportive Care
145 PINE HAVEN SHORES RD STE 1000A
SHELBURNE, VT 05482
Nurse Anesthetist, Certified Registered
145 PINE HAVEN SHORES RD STE 1000A
SHELBURNE, VT 05482
Social Worker (Clinical)
145 PINE HAVEN SHORES RD STE 1000A
SHELBURNE, VT 05482
Clinic/Center (Urgent Care)
145 PINE HAVEN SHORES RD STE 1000A
SHELBURNE, VT 05482

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 Mystan LLC's NPI number?

The NPI number for Mystan LLC is 1962324038. It was assigned to this organization in the NPPES registry on July 29, 2026.

Where is Mystan LLC located?

Mystan LLC is located at 145 Pine Haven Shores Rd Ste 1000A, Shelburne, VT 05482. The listed phone number is (406) 309-6462.

What is Mystan LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Mystan LLC was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.