Seasons Lab Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SEASONS LAB CORP

Practice address

2800 Harding Ave
Terre Haute, IN 47802-0000

Phone

(812) 917-0089

Fax

(812) 917-0090

NPI assigned

Mar 11, 2022

Last updated

Mar 11, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Faizan Khan, MDNPI 1194022541

Title

Member Manager

Phone

(630) 901-4143

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Faizan Ali Khan, DO

  • Gastroenterology Physician
  • Joliet, IL
  • NPI 1194022541
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1366190175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 HARDING AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478020000",
            "telephone_number": "812-917-0089",
            "fax_number": "812-917-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 HARDING AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478020000",
            "telephone_number": "812-917-0089",
            "fax_number": "812-917-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS LAB CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FAIZAN",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "630-901-4143",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheyenne Schwenke, FNP-C
• Jennifer Dawn Scott, PMHNP
• Phyllis Anne Scott, MSN,CNS,APRN,BC
• Ryleigh Scott, MS, RD, MBA
• Emily Ann Scully
• Kaytie Sebastian, KSW, LCSW
• Benjamin Ryan Secor, MD
• Heather J Sedletzeck, CTRS
• Curtis Seitz, MD
• Tiffany Ann Sekela, MS CCC-SLP

• Clinical Medical Laboratory in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.