Provider Demographics
NPI:1396912135
Name:COVENANT SLEEP THERAPEUTICS
Entity type:Organization
Organization Name:COVENANT SLEEP THERAPEUTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL AFFAIRS
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:REDDEN
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:662-236-7807
Mailing Address - Street 1:2580 JACKSON AVE W
Mailing Address - Street 2:SUITE 37
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-5489
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2580 JACKSON AVE W
Practice Address - Street 2:SUITE 37
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-5489
Practice Address - Country:US
Practice Address - Phone:662-536-7807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory