The Northern Trust Bank / Services Laboratories / The University of Chicago Genetic Services Laboratories / /
Country
United States / Canada / / /
Event
FDA Phase / Funding / /
Facility
University of Chicago Medical Center RECOMMENDED BUT OPTIONAL CONSENT/AUTHORIZATION BY SUBJECT FOR PARTICIPATION / University of Chicago The Division / American College of Medical Genetics / University of Chicago Medical Center REQUIRED Patient Name / University of Chicago / Ataxia Exome Panel Requisition Form The University of Chicago Genetic Services Laboratories / University of Chicago Wire Account No. / The University of Chicago / McGiffert Hall / / /
IndustryTerm
credit card processing / Insurance prior authorization / insurance / direct insurance billing / insurance company resulting / Insurance prior authorization services / imaging / bank fees / /
University of Chicago Genetic Services / Institutional Review Board / University of Chicago Wire Account / University of Chicago Medical Center REQUIRED Patient Name / University of Chicago Medical Center RECOMMENDED BUT OPTIONAL / The University of Chicago / University of Chicago / NO UNKNOWN Seizures Spasticity Movement / Referring Lab / the American College / Division of Biological Sciences / Billing Institution / /
Ataxia Exome Panel Requisition Form The University of Chicago Genetic Services Laboratories 5841 South Maryland Avenue, Room G701/MC0077, Chicago, IL[removed]Toll Free: [removed] | Local: [removed] | Fax: [removed]