Provider Attestation Statement:

I hereby attest that the National Provider Identifier (NPI) information I have provided is accurate and current. I affirm that I hold an active and unrestricted license to practice in all state(s) in which I render medical care or provide medical advice. I further certify that I am not currently under investigation, disciplinary review, or suspension by any state licensing board, Medicare, Medicaid, or any institution where I hold or have held privileges, and that I will notify LabSavvy immediately upon any of the foregoing that later arise after the date of this Provider Attestation Statement. I have not had any medical or professional license, board certification, or clinical privileges revoked, restricted, or otherwise adversely affected. By pressing submit below , I acknowledge that providing false or misleading information may result in the termination of any agreements or participation with affiliated programs, services, solutions or platforms.