First test?  Register now.

OmniSeq Tests must be ordered by a licensed physician, or individual authorized under state law to order or receive test results. We want to help you manage the ordering process for your facility. Register now to get started. Your information will be kept confidential and not used for any marketing purposes.

Fill in the form below OR submit completed registration form via fax to 1-888-770-4931 or email to  Already registered?  Order tests here.

Organization Information

Organization Name *

Address *

City / State / Zip *

Organization Phone *

Organization Fax

Ordering Provider Information

Ordering Provider Name / Credentials *

Ordering Provider NPI *

Provider Phone *

Provider Email *

Provider Fax

Additional Contact Information

Preferred Contact Name and Title

Contact Phone Number

Contact Email