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Contact Information

MIRACLE 3D MOMENTS, LLC
22 WILSON AVE NE STE 201
SAINT CLOUD, MN56304-0418
 Phone: 320-208-6064
 Fax: 833-938-4654
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Ultrasound

2085U0001X
Indicates primary specialty

NPI Profile & details for MIRACLE 3D MOMENTS, LLC

NPI # 1184337263
LBN Legal business name MIRACLE 3D MOMENTS, LLC
Authorized official CRYSTAL HELLER - (OWNER/ SONOGRAPHER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/03/2023
Last updated 01/03/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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