Active NPI
Covenant Health Solutions of Mississippi
- Clinical Medical Laboratory
- Senatobia, MS
National Provider Identifier
1407170285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- COVENANT HEALTH SOLUTIONS OF MISSISSIPPI
- Practice address
- 120 Norfleet Dr Ste B
Senatobia, MS 38668-2220 - Phone
- (662) 301-2230
- NPI assigned
- Mar 23, 2010
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Brian Redden
- Title
- Director of Clinical Affairs
- Phone
- (901) 494-3277
National Provider Directory
National Provider DirectoryLocations
120 Norfleet Dr
Ste B
Senatobia, MS 38668
Phone (662) 301-2230
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
120 Norfleet Dr Ste B
Senatobia, MS 38668-2220
Mailing address
2504 Stonebrook Dr
Nesbit, MS 38651-8351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 23, 2010.
{
"created_epoch": "1269302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269302400000",
"number": "1407170285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2504 STONEBROOK DR",
"city": "NESBIT",
"state": "MS",
"postal_code": "386518351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 NORFLEET DR STE B",
"city": "SENATOBIA",
"state": "MS",
"postal_code": "386682220",
"telephone_number": "662-301-2230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COVENANT HEALTH SOLUTIONS OF MISSISSIPPI",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-23",
"last_updated": "2010-03-23",
"status": "A",
"authorized_official_last_name": "REDDEN",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "DIRECTOR OF CLINICAL AFFAIRS",
"authorized_official_telephone_number": "901-494-3277"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Senatobia, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.