Welcome to Synergy Laboratories.

We are so happy that you have decided to partner with Synergy Laboratories for these services!
 
Please complete the following account information to assist our IT Team in creating your account.
 
Dr. Glenn Nelson, Lab Director / CLIA #01D2093765
5570
Rangeline Rd., Mobile, AL 36619
synergytesting.com
(251) 662-9760
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Days of Operation

Lab Services

Lab Services: *


Sample Pickup Days *
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According to CMS, providers must be enrolled in PECOS to order laboratory services. Until registered, all orders must be ordered by a PECOS registered provider. Once registered, follow the link below to submit an updated new physician form.

#1 *
 First NameLast NameNPI#Provider Type
Provider Info
#1 Provider Numbers
 Medicare#BCBS#Medicaid#
Enrollment Info
#2
 First NameLast NameNPI#Provider Type
Provider Info
#2 Provider Numbers
 Medicare#BCBS#Medicaid#
Enrollment Info
#3
 First NameLast NameNPI#Provider Type
Provider Info
#3 Provider Numbers
 Medicare#BCBS#Medicaid#
Enrollment Info
#4
 First NameLast NameNPI#Provider Type
Provider Info
#4 Provider Numbers
 Medicare#BCBS#Medicaid#
Enrollment Info
#5
 First NameLast NameNPI#Provider Type
Provider Info
#5 Provider Numbers
 Medicare#BCBS#Medicaid#
Enrollment Info
#6
 First NameLast NameNPI#Provider Type
Provider Info
#6 Provider Numbers
 Medicare#BCBS#Medicaid#
Enrollment Info
#7
 First NameLast NameNPI#Provider Type
Provider Info
#7 Provider Numbers
 Medicare#BCBS#Medicaid#
Enrollment Info
#8
 First NameLast NameNPI#Provider Type
Provider Info
#8 Provider Numbers
 Medicare#BCBS#Medicaid#
Enrollment Info
Reporting Preferences: *

EHR

Clinical Critical Results Contact

Billing Information & Contact Details

Billing *
Sure Med Compliance Program
I hereby acknowledge that Synergy Laboratories will perform the above requested laboratory testing for patients from my practice as assigned and indicated on individual patient Laboratory Requisition Forms, whether in physical copy or digital. I understand it is my responsibility as a physician to assess my patients' risk factors and order tests based on each specific patient's need(s). I have reviewed the guidelines set forth by state and federal agencies, including but not limited to the Centers for Medicare and Medicaid Services, and agree to utilize the guidelines set forth by these entities along with my professional judgment to develop individual treatment plans for my patients. I understand it is my responsibility to provide Synergy Laboratories with a signed (ink or digital) copy of any Laboratory Requisition Form and authorize Synergy Laboratories to apply this signature to any requisition form transmitted from my office (either physical or digital) in the event that my health care system cannot apply it during transmission. I understand it is my responsibility to properly chart my patients' progress and will provide any applicable information for a patient to Synergy Laboratories upon request if a test has been performed for the requested patient by Synergy Laboratories. I understand that documents that may be requested include but are not limited to: authorization of benefits, consent for treatment, advanced beneficiary notice of noncoverage, and/or progress notes. I acknowledge that it is my responsibility to obtain this documentation from my patients. I will not order tests without first administering the proper risk assessments to justify medical necessity. *
I understand and agree to the above statement and would like to enter into a partnership with Synergy Laboratories. *
Signature: *
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