Provider Registration (Litholink Account Only)

Thank you for your interest in Litholink’s Kidney Stone Program. This registration is for a new or interested provider or a provider who would like to update their information.

Once your registration is completed, we will send you a welcome email within 1 to 2 business days. The welcome email will include:

Your sales representative’s information
A PDF of our Test Request Form (TRF)
A sample patient results report
Current workflow diagram to show you how our program works
A sample pediatric results report

Please complete the information below for a Litholink account.

Have you used Litholink in the past?

Yes

Institution/Hospital/Academic Center

Practice or Group

Practice Information

Address

Suite/Room

City

State

Zip

Practice Phone

Practice Fax

Office Contact

Office Contact Phone Number

Number of Providers

Provider Information

Physician
Physician Name (First Last) Physician NPI# Physician Email Address

more physicans

Report Delivery Preference

Choose all that apply.

Mail

Fax

LabCorp Link

For LabCorp Link, please enter Acct #

Comments

Leave this field blank

All other help

For any other questions or provider requests, please contact us (Choose: Sales Support). This includes:

Seeking a Labcorp account number
Online retrieval of Litholink results (must have a Labcorp Account number)
Other services that Litholink/Labcorp support

If you would like to register for a Labcorp account number, please click here.