| NPI | 1669184750 |
|---|---|
| Former Legal Business Name | COVENANT DIAGNOSTICS, LLC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL PERRITT President 228-400-4790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2022-12-20 |