Any Lab Test Now Franchise/Store ID*Sign Up Date* Date Format: MM slash DD slash YYYY Account InformationPractice Name*Address Street Address Suite # City State ZIP Phone*Fax*Days* Select All Monday Tuesday Wednesday Thursday Friday Saturday Sunday Business Hours*LogisticsDo you currently use FedEx for specimen transport?*YesNoWhat days do you need FedEx pickup?* Select All Monday Tuesday Wednesday Thursday Friday Saturday Sunday Variable days What is the latest time FedEx can pick up and at what location?Front desk, front door, back door, etc? FedEx requires between a 1-3 hour window for express pickups. Converse with your driver to optimize shipment times. Contact Labtech logistics with any issues.Inside contact for FedEx PickupPhoneKey ContactsContact name (in office)Email CellCritical Values ContactContact NameCellAfter Hours Contact*YesNoProvider InformationName*NPI*Title*--- Please select ---MDDOPANPRNNDEmail: NameNPITitle--- Please select ---MDDOPANPRNNDEmail
