Ecosure Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ECOSURE LABS LLC

Practice address

200 W 3Rd St Ste 310
Alton, IL 62002-6101

Phone

(310) 756-5321

NPI assigned

Sep 18, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Mohsin Javed Khan

Title

Owner

Phone

(310) 756-5321

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1629940820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 3RD ST STE 310",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026101",
            "telephone_number": "310-756-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 3RD ST STE 310",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026101",
            "telephone_number": "310-756-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECOSURE LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MOHSIN",
        "authorized_official_middle_name": "JAVED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-756-5321",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Dykyj
• E J Aragona MD LTD
• Olivia C Eade
• Patricia A Earnshaw, LCSW
• Blic Echols
• Renee Edelen
• Sarah Edler, SLP
• Edward J Harrow PTR, Alton Pathology Associates
• Destinee Edwards, BA
• Gene L Edwards

• Clinical Medical Laboratory in Alton, IL
• Providers in Alton, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.