# LIL BO PEEP 3D-4D ULTRASOUND AND BOUTIQUE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235514209
- **Authorized official:** CATHY FRAZIER STANLEY RDMS (REGISTERED DIAGNOSTIC SONOGRAPHER)
- **Authorized official phone:** (910) 690-6894

## Contact information

- **Practice address:** 80 AVIEMORE CT, SUITE D, PINEHURST, NC 28374-9732
- **Practice address phone:** (910) 690-6894
- **Mailing address:** 80 AVIEMORE CT, SUITE D, PINEHURST, NC 28374-9732
- **Mailing address phone:** (910) 690-6894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | 107830 | NC | Yes |

## Other

- **Enumeration date:** 07/20/2015
- **Last updated:** 01/14/2016