MEDICARE: SWEET PEA 3D/4D ULTRASOUND LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	293D00000X	Physiological Laboratory

General Provider Information

NPI Number	:	1093688566
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWEET PEA 3D/4D ULTRASOUND LLC

Provider Business Mailing Address
First Line	:	3108 CLEARY AVE STE 205
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-5755
Country	:	US
Telephone Number	:	504-500-7870
Fax Number	:	337-761-1682

Provider Business Practice Location Address
First Line	:	3108 CLEARY AVE STE 205
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-5755
Country	:	US
Telephone Number	:	504-500-7870
Fax Number	:	337-761-1682

Authorized Official
Title or Position	:	TECHNOLOGIST/OWNER
Name	:	CRISTINA MUMME WOODALL
Credential	:	RDMS
Telephone Number	:	504-500-7870

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	10/10/2025

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Directions to “SWEET PEA 3D/4D ULTRASOUND LLC ” Practice Location

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