MIRACLE 3D MOMENTS LLC NPI 1184337263

NPI Information

  • NPI: 1184337263
  • Provider Name: MIRACLE 3D MOMENTS, LLC
  • Classification: Radiology - 2085U0001X
  • Specialization: Diagnostic Ultrasound
  • Entity Type: Organization
  • Address: 22 WILSON AVE NE STE 201
    SAINT CLOUD, MN
    ZIP 56304
  • Phone: (320) 208-6064

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NPI Details

MIRACLE 3D MOMENTS, LLC is a diagnostic ultrasound radiology in Saint Cloud, MN. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. MIRACLE 3D MOMENTS, LLC NPI is 1184337263. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

22 WILSON AVE NE STE 201
SAINT CLOUD, MN
ZIP 56304-418
Phone: (320) 208-6064
Fax: (833) 938-4654

The provider's authorized official is Crystal Ann Heller .
The authorized official title is Owner/ Sonographer and has the following contact phone number (320) 245-7701.

The enumeration date for this NPI number is 1/3/2023 and was last updated on 1/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085U0001XRadiologyDiagnostic UltrasoundYes

What is NPI?

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This page was last updated on: 11/21/2025

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