Covenant Laboratories

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

COVENANT LABORATORIES

Practice address

290 Hancock Square Dr
Bay St Louis, MS 39520-1634

Phone

(228) 400-4790

Fax

(228) 200-5683

NPI assigned

Aug 5, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Perritt

Title

President

Phone

(972) 953-9590

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1285308015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 HANCOCK SQUARE DR",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395201634",
            "telephone_number": "228-400-4790",
            "fax_number": "228-200-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 HANCOCK SQUARE DR",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395201634",
            "telephone_number": "228-400-4790",
            "fax_number": "228-200-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "PERRITT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-953-9590"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Therapy Services, Inc.
• Brandi Coleman, M.D.
• Frank L Conaway Jr., D.M.D.
• Sierra Reid Cooley, PA-C
• Timothy Kipper Copeland, MD
• James Clifton Crittenden, M.D.
• Rowe Sanders Crowder III, M.D.
• Denise Daigle, NP
• Son Dang, MD
• Haley Derouen

• Clinical Medical Laboratory in Bay St Louis, MS
• Providers in Bay St Louis, MS by specialty
• Clinical Medical Laboratory in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.