| NPI | 1639501786 |
|---|---|
| Doing Business As | MYTHIC |
| Entity Type | Organization |
| Authorized Contact | CHRIS PODOLSKY Owner 732-898-1569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2013-07-31 |