Regina Yates

 
 LOUISIANA PAIN 
 SPECIALISTS 
 PAIN DIAGNOSIS & INTISIVENTIONSXPE) 
 Kenner 231 West Esplanade Avenue, Suite B, Kenner, LA 70038 

 LABORATORY RESULT 
 PATIENT DEMOGRAPHICS 
 GUARANTOR & INSURANCE INFORMATION 
 Patient: Catherine English
 Insurance:VA CCN OPTUM 
 DOB: 30-07-1992 Age: 38 year Sex: Male 
 Guarantor: Catherine English 
 Address: 4191 1ST AVE Bay Saint Louis MS 39538
 Phone:  
 LAB VENDOR DETAILS 
 ORDERING DETAILS 
 Lab Name: LPS Lab 
 Ordering Physician Name: Suneil Jolly MD 
 Address: 3434 Houma Blvd Suite 301 Metairie LA 70386 - 
 Order#: LAB003992 Order Date: 01-03-2016
 0000
 Result Date: 25-06-2021
 Sr.No. 
 Test Name 
 Result 
 Unit 
 Min-Max 
 Abn-Type 
 Urine Drug Screen 
 1 
 Panel 
 2 
 Methamphetamine 
 neg 
  
