Tracking Details - #3324

Tracking Information
Case No: 3129
Order Date: 01/30/2026
Due Date:
Template Packet: New York HIPAA Authorization Packet
Scope:
Location: #1 Excel Cleaning Group NH
550 Newark Avenue, #001
Jersey City, NJ 07306
Phone: 201-241-4144 • Fax: 551-263-5209
Patient: Hugh Jackman
DOB: 11/11/1950 • SSN: ***-**-4516
#1 Excel Cleaning Group NH
550 Newark Avenue, #001
Jersey City, NJ 07306
Phone: 201-241-4144 • Fax: 551-263-5209
Current packet matches the recommended template: New York HIPAA Authorization Packet.
Hugh Jackman
DOB: 11/11/1950 • SSN: ***-**-4516
Requested Records
Record Status
Billing Pending
Films Pending
File Name Uploaded Date Uploaded By
No documents found.
Tracking Step Log
Step Due Date Remarks Publish Entered
Received Order, In Progress Yes 1/30/2026 4:26 PM
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