Tracking Details - #3325

Tracking Information
Case No: 3129
Order Date: 01/30/2026
Due Date:
Template Packet: New York HIPAA Authorization Packet
Scope:
Location: *don not use Lenox Hill Hospital Radiology USE Lenox Hill Radiology / Doshi Diagnostic Imaging Services, PC
410 East 189th Street
Bronx, NY 10458
Phone: (212) 434-2900
Patient: Hugh Jackman
DOB: 11/11/1950 • SSN: ***-**-4516
*don not use Lenox Hill Hospital Radiology USE Lenox Hill Radiology / Doshi Diagnostic Imaging Services, PC
410 East 189th Street
Bronx, NY 10458
Phone: (212) 434-2900
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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