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500 Chip eta Way, Salt Lake City, Utah 841081221 Phone: (800) 5222787 Fax: (801) 5845249 Website: www.aruplab.comPATIENT HISTORY FORM FOR NONINVASIVE PRENATAL TESTING (NIP) Patient Name Date of BirthOrdering
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Start by entering the ordering provider's name in the designated field.
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What is ordering provider?
The ordering provider is a healthcare provider who requests medical services or tests for a patient.
Who is required to file ordering provider?
The healthcare facility or organization where the ordering provider works is required to file ordering provider information.
How to fill out ordering provider?
To fill out ordering provider information, include the name, address, NPI number, and specialty of the ordering provider.
What is the purpose of ordering provider?
The ordering provider information is used to track and verify medical services or tests ordered for a patient.
What information must be reported on ordering provider?
The information reported on ordering provider includes the name, address, NPI number, and specialty of the ordering provider.
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