Tracking Details - #1200
Tracking Information
Case No: 1112
Order Date:
12/04/2025
Due Date:
—
Template Packet: HIPAA Authorization Packet
Scope:
—
Location: Arthur Smith, MD
450 Lakeville Road, Suite M41
New Hyde Park, NY 11042
Phone: (516) 734-8500
• Fax: 516-734-8538
Patient: Oprah Winfrey
DOB: 12/16/1989
• SSN: ***-**-7667
Requested Records
| Record | Status |
|---|---|
| Billing | Pending |
| Medical | Pending |
| File Name | Uploaded Date | Uploaded By |
|---|---|---|
| NextDocument_20251204212525633.pdf | 2025-12-04 |
Tracking Step Log
| Step | Due Date | Remarks | Publish | Entered |
|---|---|---|---|---|
| Received Order, In Progress | Yes | 12/4/2025 4:25 PM |
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