Tracking Details - #1251
Tracking Information
Case No: 1117
Order Date:
12/12/2025
Due Date:
—
Template Packet: HIPAA Authorization Packet
Scope:
—
Location: Abram Mozes, MD
496 Smithtown Bypass, Suite 101
Smithtown, NY 11787
Phone: (631) 784-7370
• Fax: (631) 784-7379
Patient: Rihanna Fenty
DOB: 07/15/1950
• SSN: ***-**-8376
Requested Records
| Record | Status |
|---|---|
| Medical | Fulfilled |
| File Name | Uploaded Date | Uploaded By |
|---|---|---|
| WebPage (1)_20251212004711534.pdf | 2025-12-12 |
Tracking Step Log
| Step | Due Date | Remarks | Publish | Entered |
|---|---|---|---|---|
| Received Order, In Progress | Yes | 12/11/2025 7:47 PM | ||
| Generation Dept - Printed Packet | 12/12/2025 | Yes | 12/12/2025 12:47 AM | |
| Fax sent | 2/8/2026 | No | 2/8/2026 5:49 PM | |
| Fax delivery confirmed | 2/8/2026 | Fax delivered (manual) | No | 2/8/2026 5:50 PM |
| Assigned To: | 2/10/2026 | Assigned To: UserNo=1005 [INITIAL] | No | 2/8/2026 5:50 PM |
| Received - All Records | Received - Records | Yes | 3/3/2026 3:01 AM |
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