Tracking Details - #1181
Tracking Information
Case No: 1102
Order Date:
11/14/2025
Due Date:
—
Template Packet: HIPAA Authorization Packet
Scope:
—
Location: NHPP Medical Group Smithtown
9 Brooksite Drive
Smithtown, NY 11787
Phone: (631) 724-1331
• Fax: (631) 360-5646
Patient: Scarlett Johansson
DOB: 12/04/1963
• SSN: ***-**-4450
Requested Records
| Record | Status |
|---|---|
| Audio | Pending |
| File Name | Uploaded Date | Uploaded By |
|---|---|---|
| No documents found. | ||
Tracking Step Log
| Step | Due Date | Remarks | Publish | Entered |
|---|---|---|---|---|
| Received Order, In Progress | Yes | 11/14/2025 10:51 AM |
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