Active NPI
Covenant Sleep Therapeutics
- Clinical Medical Laboratory
- Oxford, MS
National Provider Identifier
1396912135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- COVENANT SLEEP THERAPEUTICS
- Practice address
- 2580 Jackson Ave W
Suite 37
Oxford, MS 38655-5489 - Phone
- (662) 536-7807
- NPI assigned
- May 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian Curtis Redden I
- Title
- Director of Clinical Affairs
- Phone
- (662) 236-7807
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
2580 Jackson Ave W
Suite 37
Oxford, MS 38655-5489
Mailing address
2580 Jackson Ave W
Suite 37
Oxford, MS 38655-5489
National Provider Directory
National Provider DirectoryLocations
2580 Jackson Ave W
Ste 37
Oxford, MS 38655
Phone (662) 236-7807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210550400000",
"number": "1396912135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2580 JACKSON AVE W",
"address_2": "SUITE 37",
"city": "OXFORD",
"state": "MS",
"postal_code": "386555489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2580 JACKSON AVE W",
"address_2": "SUITE 37",
"city": "OXFORD",
"state": "MS",
"postal_code": "386555489",
"telephone_number": "662-536-7807"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COVENANT SLEEP THERAPEUTICS",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-12",
"last_updated": "2008-05-12",
"status": "A",
"authorized_official_last_name": "REDDEN",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "CURTIS",
"authorized_official_title_or_position": "DIRECTOR OF CLINICAL AFFAIRS",
"authorized_official_telephone_number": "662-236-7807",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "I"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.