Organization Active NPI

Covenant Health Solutions of Mississippi

  • Clinical Medical Laboratory
  • Senatobia, MS
National Provider Identifier
1407170285
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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 Directory

Locations

120 Norfleet Dr
Ste B
Senatobia, MS 38668
Phone (662) 301-2230

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.