PATIENT BILLING AND INSURANCE FORM OUR OFFICE LOCATIONS We have two conveniently located offices in order to provide the finest service to the Syracuse community: Main Office 600 East Genesee Street Suite 305 Syracuse, NY 13202 Use Google maps Medical Center West 5700 West Genesee Street Camillus, NY 13031 BY TELEPHONE/FAX Main Office Phone: (315) 234-3300 Fax: (315) 234-3305 Cytology Phone: (315) 234-3300 Fax: (315) 234-3305 Tissue Pathology Phone: (315) 234-9640 Fax: (315) 234-9646 Billing Phone: (315) 234-3311 Fax: (315) 234-3309 OFFICE HOURS Our hours are Monday through Friday from 7am until 5pm. BY EMAIL Please use the form below, and we will respond as soon as possible. Items in bold are required for processing. This form should not be used to transmit sensitive information (e.g. protected health information, social security number, credit card information, etc.). Please use the Patient Billing and Insurance Form or contact us by telephone with such information. ClearPath Diagnostics is not responsible for misuse of this form. Name: Company: Title: Address 1: Address 2: City: State: Zip: Phone: E-mail: Subject: Message:

ClearPath Diagnostics  600 East Genesee Street, Suite 305,  Syracuse, NY 13202  P: (315) 234-3300  F: (315) 234-3305 Copyright © 2012, ClearPath Diagnostics. All Rights Reserved. Privacy Policy