Joseph Hart

 
 Patient: Shane Wells DOB: 22/03/2002
 OWENS, Shannon DOB: Nov 17, 1976 (46 yo F) Acc No. 7588xx 
 001 Pines University 
 Angel Rodriguez, MD 
 680N UNIVERSITY DR PEMBROKE PINES, FL  
 Internal Medicine 
 Tel: 855-xx Fax: 877-xxx
 Patient: 
 Shane Wells
 26/12/2015 
 DOB: 
 22/03/2002, Sex: Female 
 Address: 
 2653 JOHNSON ST, HOLLYWOOD, FL 33xxx-38xx 
 Phone: 
 754-2xx-1xxx 
 Ordered Date: 13/11/2017 
 Assessments: 
 Dyspepsia - R10.13 
 Lab: 
 H. pylori Breath Test 
 Fasting: 
 No 
 Specimen: 
 Collection Date: 30/04/2020 Time:2:56 PM Source:UP: 
 Clinical Info: 
 Name 
 Value 
 Reference Range 
 H. pylori Breath Test 
 No Specimen Received 
 Request Problem 
 H. pylori Breath Test 
 Negative 
 Negative 
 Result: 
 Received Date: 
 26/12/2015
 Notes: 
 Patient Name: Owens, Shannon , DOB: 22/03/2002
 OWENS, Shannon DOB:22/03/2002 (46 yo F) Acc No. 758856 
 Page 15 of 115
 Document: 2023-09-05-Records 
 Printed: 26/12/2015 12:22:11 
 Page 15 of 115
