Mystic Medical Equipment Incorporated

LBN: Mystic Medical Equipment Incorporated
Mystic Medical Equipment Incorporated is an health care organization with primary practice located at 23660 Research Dr , Farmington Hills MI 48335-2643. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Mystic Medical Equipment Incorporated can be contacted via phone (248) 476-8811, or through Wenson, Paul F via phone (248) 476-8811.

Contact Information

Primary practice address
23660 Research Dr Farmington Hills MI 48335-2643
Phone: (248) 476-8811
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wenson, Paul F
Phone: (248) 476-8811

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1518098276
LBN Legal business name Mystic Medical Equipment Incorporated
DBA Doing business as
Authorized official Wenson, Paul F
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Aug 15th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518098276 NPPES
Michigan MEDICAID 3025219

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