APPLICATION FORMParticipation Agreement for Discounted Lab Testing Prices • December 18th, 2020 • Missouri
This Agreement is entered into this day of , 20 , by and between , (hereinafter referred to as “DOCTOR”) and Howell Diagnostic Network, LLC, 12401 Olive Boulevard, Suite 101, Creve Coeur, MO 63141, P: 314-594-8187, F: 314-594-8188 (hereinafter referred to as “NETWORK”).
