EFTA00624726.pdf

11/27/2012 11:33:124uA FROM: LAEICORP LCLS BLK 7C 2125351172 LABCORP LCLS BLK Page 7 el 7 A TO:Carinda ATTN:Woodson Menem PaliQs2rp mommmerm rese9Nameer Ammo 14 Nob. R.:ite 324-042-2631-0 PeSearD A3X31143092 31 3092 7O I OMMIC P. elms Liu Na. RPRTRIN Acionts Arkbai Woodson Merrell 44 E 67th St New York NY 10065 PuhaPisithas ran PnbabtiebNum PCs BM IIIIIIIIIIII TWIlvelmie 5APK9AMB0 I 9/0/3 ( On La M Yes Rolm PrikaAddne ...Italia Wilma UPIN: A62553 9 EAST 71ST ST NEW YORK NY 10065 Doe .S1 salad 11/19/12 09;30 DUO Bawd 11/20/12 De mad Illes Aspead 11/21/12 15: DWI Fleedin Nips VIRRELL . W MK 1023153509 15bAbleisID MERRELL LabCorp Raritan 69 Pint Avenue Itm NJ 08869-1 • Toss Weed Request Problem FISTS RESOD! FLAG WITS RZIZAZIKZ ISITIOWAL tan Request Problem Comment: The specimen submitted does not meet the laboratory's criteria for acceptability. Refer to LabCorp's Directory of Services for specimen acceptability criteria. TEST: 015610 PTH, Intact 01 01 RN LabCorp Raritan Dir: Araceli B Reyes, MD 69 First Avenue, Raritan, NJ 09869-1 For inquiries, the physician may contact Branch: Lab: 100-631-5350 I nsTsrm, JEFFREY 11/27/12 11:33 ET DUPLICATE FINAL REPORT Tli eirmsontamtatos Ovum old ceelMadal lasbb Isformekm inbred by sew sad Well Ion Ilya ban Nord eta doctsrest than% please caIl 1100-631-5350 IS -0 l swami Page 1 of 1 O20O4-12Labaskry Capmla d'Astedca• Hadar AA ROY Band DCCI Vet 1.49 EFTA00624726 11/n2012112312km FROM: LABCORPLUSBLA 0: 2125351172 LASCORPLOLSBLK Ripe 1 of 7 A TO:Carinda ATM:Woodson Merrell LaMaw Spdaso Naar Pais ID Cam] Saba. A3R31143092 Vacs Nober 31143092 lillin_LIade 70 324-042-2269-0 Arias Adams Woodson Merrell 44 E 67th St New York NY 10065 Pt Last Now ZNITZIR Ails Arattaai JIMMY Piths PAW • Nam Moos SI Thal Vds. Aso (YIKED) 59/09/30 Set M Peat Yee 9 E 71 SR NEW YORK NY 10065 AdAtIcsallakeika UPIN: A62553 Oar acklThreasead 11/19/12 09:30 Das PoUnd 11/20/12 De Ain Rowed HOS= Ns YZARELL . W API 1023153509 TWOS= D) MERRELL sed 11/20/12 15:06ET LabCo.T. Raritan 69 First Avenue Ran 1.1' 08869-1800 Phone: Theorsevi Insulin RESULT FLAG UNITS 12/7/31ZSCIS TATICRVAL LIB 01 RN LeloCorp Raritan Dir: Araceli S Reyes, ID 69 First Avenue, Raritan, NJ 06669-1 For inquiries, the physician may contact Branch: EPSTEIN, JUTE:REY 0 3944749 11/27/12 11;33 ET DUPLICATE FINAL REPORT its donned caeliess pdirak and eceadenttel sub tafocostaa tad by shag sad Mena In. Ilya ben amebad tWs deenesal Is arcs, plum Page 1 of 1 smoo4-12tabaratnCarpeastlatetAssita t Holdlap AA weft amend DCC1 Ver. 109 EFTA00624727 11/27/2012 11:33:12Am FROM: LABCORP LCLS BLx 7 ): 2125351172 LAscav Lots BLK Page 2 of 7 A TO:Carinda ATTN :Woodson Mar rail Labgs2rp Spent Nunes 324-042-2276-0 _ Penn ID Ceara Neter Ammar Nub. A3L31143092 31143092 MOMI L Ltems 70 Mee tas Nen 126TZIN Aargau Afl Woodson Merrell 44 E 67th St New York NY 10065 Ma Pim Nose tin Pena Wine Nue Pena SU Taal Vas Assedwa 59/09/30 Sar M Pane Yes Atketleed keratin UPIN: A62553 9 E 71ST NEW YORK NY 10065 Dee =Mar Canal 11/19/12 09:30 Dealktan 11/20/12 Dee moillentapted 11/21/12 09,06ET rbyakke His MERRELL . W NR 1023153509 ParackaID MERRELL LabCorpRa6thn 69111rstAvecua Itin NJ 8 • Tea and Calcium, Ionized, Serum TWITS BMW= FLAG MISTS RIPIIIMMCB LW/ORVAL TAB 01 RN LabCorp Raritan Bit' Araceli B Reyes, ND 69 First Avenue, Raritan, NJ 08869-1 For inquiries, the physician may contact Breech: lab: I EPSTEIN, JEFFEREY Ell sonr4795 11/27/12 11:33 ET DUPLICATE FINAL REPORT rage 1 of 1 Tbis draws crow pdvab ad coalldsal Smith liftmallai led by slats sad MUM law. 02004-12 Labcnkry Capcsatcm cf Menke • Mollie yai Inn naked CS dmonemta ea pine an itlabs Rasned DOCI Vet IA9 EFTA00624728 11/27/201211:33:121 FROM: UMICORP Leis six O: 2125351172 LABCCCIP ICLS BLK Page 3 of 7 A TaCadnda ATITINVoodson Merrell Labgs2rp SpoomeMmise MdesIM Cemsg Mote Ammo Nobs ame 70 324-042-2275-0 a3a31143092 I 31143092 Pastas, Na. UST= Ammo AWN Woodson Merrell 44 E 67th St New York NY 10065 Aden Mom Na. JIMMY PoUncladdiNum Pt SU Tull/dam Ar(yall/D) 59/09/30 dram MSS Yes 9 EAST 71ST NEW YORK NY 10021 AMOS 'take UPIN: A62553 Doe sal Tr Colootud 11/19/12 09O0 Dom Baal 11/20/12 Dm =IM= Rend 11/23/12 15:06ET MOsidu Nom MERRELL W KW 1023153509 PbystionE. MERRELL LabCc•tp Raritan 69 Pint Avenue tin. NJ 08869-1800 Phone. Tom Wad Comp. Metabolic Panel (14); Lyme Ab/Western Blot Reflex; Lipid Panel; Testosterone,Free+Weakly Bound; C-Reactive Protein, Cardiac; Hemoglobin Ale; Prostate-Specific Ag, Serum; Vitamin D. 25-Hydroxy; DHEA-Sulfate; Homocyst(e)ine, Plasma; GGT; Request Problem; Ferritin, Serum; Sex Horm Binding Glob, Serum; Zinc, Plasma or Serum TESTS MEM& FLUB MITTS 311721131CZ IXTQVSL LAB C Metabolic Panel 14 Lyme Ab/Rostern Blot Reflex IEPSTEIN, °arm E. Seq 04816 11/27/12 11:33 ET DUPLICATE FIRRL REPORT Tbis danassol castes rat Ed ccoldestlallssab hdacmatm and by mme ad Sent la If yes bas sicaived as dsammth snot piss call Page 1 of 3 02004-12 Labatt/ray armatlatafAmalcs•Moldisp All RS Itossrvad DOC1 Vac 1A9 EFTA00624729 11/27/2012 11:33:lam FROM: LABCOF1P LCLS BLK TO: 2125351172 LARCORP LCLS BLK Page 4 of 7 A TO:Carinda ATTN:Woodson Merrell LalaCsarp LabCorp Raritan 69 Phst Avenue Raritan 08869—IWO Phone: ZPSTRIDT, JXY/TRZY Ammar Mamba 31143092 Patio Nam Po Sot 31) Mager I Au Tame Celleced Dew Reputed I Cad A3J31143092 1 11/19/12 09:30 11/23/12 M 59/09/30 11/27/12 11:33 ET FINAL REPORT Page 2 of 3 7bht dccrothart =Was pdvale tad coolichertial health inform/Um °meted bras re and Aden' lew If re Dave received this dcrument in am, pleme car! 02004-12 Letocearry Corpaeakez of mien ea Hoax. All Rifler Reserved DOC) Vet 1.49 EFTA00624730 11/27)20121123:12Ne PROW LABCORPLCLSBLK 13: 2125351172 LABCORP LCLS BLX Pigs 5 of 7 A TO:Carinda ATTN:Woodeon Me: roll LattQsarp 1082111, JINTRZY Arcata Males 31143092 Pain ID LabCorp Rad= 69 Plot Avenue Redtan, NJ 08869-1800 Phone: Pabst NCO 0 OatieMambe A3J31143092 DensernaeOsemed 11/19/12 09:30 Doe Awned 11/23/12 Sc M Ap(YlM/D) 59/09/30 Dens Dir: Araceli B Reyes, MD 01 RN LabCorp Raritan 69 First Avenue, Raritan, NJ 02 BN LabCorp Burlington 1447 York Court, Burlington, For inquiries, the physician may contact 08869-1800 Dir: William F Hancock, MD NC 27215-3361 Brandt: B00-631-5250 lab: 500-631-5250 ERSTE/1i, Mill= 0 Bog 14816 11/27/12 11:33 ET DUPLICATE mum REPORT Page 3 of 3 dessmeatanbaptvals sad cooltdestlal heath Info:ma= led by state sad federal bar 02004-12 Latkratry Caparada: et Asada 4e Holt. /I you hew surdved this decor o ma, phew al All ROI! Reserved DOC1 Vet 1A9 EFTA00624731 11/27/201211:33 TO:CarInda FROM: LA:BCC:RP LCLS UK TO: 2125351172 ATTN:Woodeon Merrell LAINDORPLCLSBLK Pape 6 a 7 A LaKsarp 324- Ns:an 042- t 2275-1 Polka Lau IC. IPSTRIN AsimPlruNnm JZPTRZY PEW ID LabCorp Raritan 69 Pint Avenue Raritan, NJ 08869-1800 Casa Neaw A3J31143092 Mona Net 31143092 Phone: seas 70 Mos al AM realm) 59/09/30 9 EAST 71ST NEW YORK NY 10021 Padearl•Stelts TeaVedwa Fag Yes mows tam Woodson Merrell 44 E 67th St New York NY 10065 Addebottleterdoo UPIN: A62553 DawalleornThas, 11/19/12 09:30 tualsond 11/21/12 DusiesiTtsailtapeted 11/26/12 11:05ET TheaanNar MERRELL . W NM Thy:Warn MERRELL Tlearteed Urinalysis, Routine; Written Authorisation Written Authorisation Written Authorization Received. Authorization received from SIGNATURE ON FILE 11-26-2012 Logged by Nenita Hizon 01 01 RN Labtorp Raritan Dir: Araceli B Reyes, MD 69 First Avenue, Raritan, NJ 08869- For inquiries, tbe_iThysician may contact Branch: Tab: 1/2187Z121, 471217'REY 11/27/12 11:33 ET DUPLICATE FINAL REPORT TIE enrol =1St pdnle got conedeedil a by .bb and Nerd be. If yte bays aretred dab don na*a eT ?sue S1 I Seq N 4821 Page 1 of 1 02004-12 labaidary Corptrada ("Atm • Haidlap AlIRIsla Rand DOCI Va IA9 EFTA00624732