Tracking Details - #1211
Tracking Information
Case No: 1112
Order Date:
12/05/2025
Due Date:
—
Template Packet: HIPAA Authorization Packet
Scope:
—
Location: Abraham Asmamaw, MD
5350 Shawnee Rd, Ste 305
Alexandria, VA 22312
Phone: 703-914-8050
• Fax: 703-914-8720
Patient: Oprah Winfrey
DOB: 12/16/1989
• SSN: ***-**-7667
Requested Records
| Record | Status |
|---|---|
| Billing | Pending |
| File Name | Uploaded Date | Uploaded By |
|---|---|---|
| NextDocument_20251205031709810.pdf | 2025-12-05 |
Tracking Step Log
| Step | Due Date | Remarks | Publish | Entered |
|---|---|---|---|---|
| Received Order, In Progress | Yes | 12/4/2025 10:17 PM |
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