Provider Demographics
NPI:1093688566
Name:SWEET PEA 3D/4D ULTRASOUND LLC
Entity type:Organization
Organization Name:SWEET PEA 3D/4D ULTRASOUND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TECHNOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:MUMME
Authorized Official - Last Name:WOODALL
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS
Authorized Official - Phone:504-500-7870
Mailing Address - Street 1:3108 CLEARY AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-5755
Mailing Address - Country:US
Mailing Address - Phone:504-500-7870
Mailing Address - Fax:337-761-1682
Practice Address - Street 1:3108 CLEARY AVE STE 205
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5755
Practice Address - Country:US
Practice Address - Phone:504-500-7870
Practice Address - Fax:337-761-1682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-29
Last Update Date:2025-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory