Organization
ECOSURE LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHSIN JAVED KHAN (OWNER)
(310) 756-5321
Entity
Organization
Contact information
Practice address
200 W 3RD ST STE 310, ALTON, IL 62002-6101
(310) 756-5321
Mailing address
200 W 3RD ST STE 310, ALTON, IL 62002-6101
(310) 756-5321
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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