Organization
SEASONS LAB CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAIZAN KHAN MD (MEMBER MANAGER)
(630) 901-4143
Entity
Organization
Contact information
Practice address
2800 HARDING AVE, TERRE HAUTE, IN 47802-0000
(812) 917-0089
(812) 917-0090
Mailing address
2800 HARDING AVE, TERRE HAUTE, IN 47802-0000
(812) 917-0089
(812) 917-0090
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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