Tracking Details - #1194
Tracking Information
Case No: 1105
Order Date:
12/03/2025
Due Date:
—
Template Packet: HIPAA Authorization Packet
Scope:
—
Location: 21st Century Optical Fashions
51 NY-111
Smithtown, NY 11787
Phone: 631-724-4545
• Fax: (631) 724-4575
Patient: Kendrick Lamar
DOB: 04/13/1990
• SSN: ***-**-7069
Requested Records
| Record | Status |
|---|---|
| Billing | Pending |
| Medical | Pending |
| File Name | Uploaded Date | Uploaded By |
|---|---|---|
| No documents found. | ||
Tracking Step Log
| Step | Due Date | Remarks | Publish | Entered |
|---|---|---|---|---|
| Received Order, In Progress | Yes | 12/3/2025 3:47 PM |
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