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Get MDL Surgical Pathology Gynecology Test Requisition 2015

Equisition Form Ordering Physician/Laboratory (Required: Include the ordering physician’s first & last name, NPI, practice name, complete address, phone number and fax number.) Collector signature: Specimen Collection Information Date collected (required): Site B Biopsy Cone Curetting LEEP Other:     _______________ C Cervical POC Endocervical    Vaginal Endometrial   Vulvar   IUD   Other: ________ Labial Biopsy Cone Curetting LEEP Other:     _______________ D .

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Keywords relevant to MDL Surgical Pathology Gynecology Test Requisition

  • ICD-9
  • nj
  • npi
  • mdlab
  • Upd
  • 2013
  • Kuser
  • Endometrial
  • IUD
  • Labial
  • dob
  • malignancy
  • dependant
  • Gynecology
  • applicable
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