Organization
COVENANT DIAGNOSTICS
Active
Other names
Covenant Diagnostics, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PERRITT (PRESIDENT)
(228) 400-4790
Entity
Organization
Contact information
Practice address
290 HANCOCK SQUARE DR STE A, BAY SAINT LOUIS, MS 39520-1634
(228) 400-4790
(228) 200-5683
Mailing address
290 HANCOCK SQUARE DR STE A, BAY SAINT LOUIS, MS 39520-1634
(228) 400-4790
(228) 200-5683
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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