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Physician tax id number lookup

Tax ID 470049123 NPI# 1245413483 CAP Accredited/CLIA# 28D0454363 2025

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The document provides instructions for requesting insurance authorization prior to genetic specimen collection at the UNMC Human Genetics Laboratory. It outlines the necessary steps, including completing a preauthorization form, submitting patient insurance information, and what to expect after submission. The document emphasizes that this is not an order for testing and details the types of specimens and tests that can be authorized.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the Patient Information section. Enter the date requested, patient name, phone number, address, date of birth (DOB), medical record number (MR#), and biological sex.
In the Specimen Type section, select the appropriate specimen type to be drawn by checking the corresponding box.
Complete the Indications for Testing or ICD section. Ensure that you provide a clear copy of the patient's insurance card as required.
Fill in the Provider Information section with your details and any additional notes if necessary.
Review all entered information for accuracy before submitting. You can submit via email or fax using the provided contact details.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (130 Votes)
2020	4.1 Satisfied (82 Votes)
2019	4.3 Satisfied (225 Votes)
2018	4.2 Satisfied (58 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Where can I find my provider ID number?

You can find it on the official IRS notice you received when it was issued, call the IRS directly or locate your EIN on business documents.

What is a tax ID number for a provider?

You can lookup a National Provider ID (NPI) on the National Plan Provider Enumeration (NPPES) website by clicking Search NPI Registry.

What is a provider tax ID in healthcare?

The federal taxpayer identification number (TIN) that identifies the provider/physician/practice/supplier to whom payment is made for the service. This number may be an employer identification number (EIN) or social security number (SSN).

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