Open an Account

Physicians and reference laboratories may open an account with us to make it more convenient to send specimens for testing. To do so, please take a moment and complete the information below.

Once your application is reviewed and accepted, you will be notified of your account number. Eligibility for physician accounts includes a volume commitment of 100 tests annually. For further questions regarding a physician account please contact our client services department at (312) 274-1928.

Name of Center/Practice:
Physician Name(s):
Billing Contact (Accounts Payable):
Mailing Address:
City:
State:
Zip Code:
Telephone:
Fax:
E-mail:

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