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6 Contract for pathology services (B) Surgical pathology requisition (C) Payment for pathology services (G) Contract for pathology waste disposal (H) Waste tracking document (pre-disposal) (I) Procedure list (A) PPSLR Pathology Lab Waste Disposal Surgical pathology report (D) Invoice for pathology services for June (E) and July (F) 2015 Waste tracking document (stamped with disposal certification) (J) Invoice for waste disposal services (K)
7 Surgical Abortion Procedures at PPSLR from 6/ /30/2015 Type Procedure 1st Tri Surgical Procedure Service Item Description Induced abortion, by D & C 9 wk Accession # R Date of Service 06/02/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /02/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /02/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /02/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /02/2015 2nd Tri Surgical Procedure Induced AB by D&E 15 wk R /02/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /02/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /02/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11wk R /02/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /02/2015 1st Tri Surgical Procedure Induced abortion, by D & C 5 wk R /02/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /02/2015 1st Tri Surgical Procedure Induced abortion, by D & C 12 wk R /02/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /02/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /02/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /02/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /02/2015 1st Tri Surgical Procedure Induced abortion, by D & C 12 wk R /02/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /02/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /02/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /02/2015 1st Tri Surgical Procedure Induced abortion, by D & C 10 wk R /03/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /03/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /03/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /03/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /03/2015 1st Tri Surgica I Procedure Induced abortion, by D & C 8 wk R /03/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /03/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /03/2015 1st Tri Surgical Procedure Induced Abortion, by D & C 13 wk R /03/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /03/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /03/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /03/2015 2nd Tri Surgical Procedure Induced AB by D&E 17 wk R /03/2015 1st Tri Surgical Procedure Induced abortion, by D & C 5 wk R /03/2015 1st Tri Surgical Procedure Induced abortion, by D & C 10 wk R /05/2015 2nd Tri Surgical Procedure Induced AB by D&E 14 wk R /05/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /05/2015 1st Tri Surgical Procedure Induced abortion, by D & C 12 wk R /05/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /05/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /05/2015 1st Tri Surgical Procedure Induced Abortion, by D & C 13 wk R /05/ Procedure list (A)
8 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /05/2015 2nd Tri Surgical Procedure Induced AB by D&E 15 wk R /05/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /05/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /05/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /05/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /05/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /06/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /06/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /06/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /06/2015 1st Tri Surgical Procedure Induced abortion, by D & C 10 wk R /06/2015 1st Tri Surgical Procedure Induced abortion, by D & C 12 wk R /06/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /06/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /06/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /06/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /06/2015 1st Tri Surgical Procedure Induced abortion, by D & C 10 wk R /06/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /06/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11wk R /06/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /06/2015 1st Tri Surgical Procedure Induced abortion, by D & C 12 wk R /06/2015 2nd Tri Surgical Procedure Induced AB by D&E 17 wk R /06/2015 1st Tri Surgical Procedure Induced Abortion, by D & C 13 wk R /06/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11wk R /06/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /06/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /06/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /06/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /06/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /06/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /06/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /06/2015 2nd Tri Surgical Procedure Induced AB by D&E 20 wk R /06/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /09/2015 1st Tri Surgical Procedure Induced abortion, by D & C 10 wk R /09/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /09/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /09/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /09/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /09/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /09/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /09/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /09/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /09/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /09/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /09/ Procedure list (A)
9 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /09/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /09/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /09/2015 1st Tri Surgical Procedure Induced abortion, by D & C 10 wk R /09/2015 2nd Tri Surgical Procedure Induced AB by D&E 15 wk R /09/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /09/2015 1st Tri Surgical Procedure Induced abortion, by D & C 12 wk R /09/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /09/2015 1st Tri Surgical Procedure Induced abortion, by D & C 10 wk R /09/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /09/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /10/2015 2nd Tri Surgical Procedure Induced AB by D&E 17 wk R /10/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /10/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /10/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /10/2015 1st Tri Surgical Procedure Induced abortion, by D & C 10 wk R /10/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /10/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /10/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /10/2015 2nd Tri Surgical Procedure Induced AB by D&E 21wk R /10/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /12/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /12/2015 1st Tri Surgical Procedure Induced abortion, by D & C 12 wk R /12/2015 2nd Tri Surgical Procedure Induced AB by D&E 15 wk R /12/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /12/2015 1st Tri Surgical Procedure Induced abortion, by D & C 5 wk R /12/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /12/2015 2nd Tri Surgical Procedure Induced AB by D&E 17 wk R /12/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /12/2015 1st Tri Surgical Procedure Induced abortion, by D & C 10 wk R /12/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /12/2015 1stTri Surgical Procedure Induced abortion, by D & C 8 wk R /12/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /12/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /12/2015 1st Tri SurgicaI Procedure Induced abortion, by D & C 6 wk R /12/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /12/2015 1st Tri Surgical Procedure Induced abortion, by D & C 12 wk R /12/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /12/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /13/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /13/2015 2nd Tri Surgical Procedure Induced AB by D&E 20 wk R /13/2015 1st Tri Surgical Procedure Induced abortion, by D & C 5 wk R /13/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /13/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /13/ Procedure list (A)
10 2nd Tri Surgical Procedure Induced AB by D&E 20 wk R /13/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /13/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /13/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /13/2015 1st Tri Surgical Procedure Induced abortion, by D & C 12 wk R /13/2015 2nd Tri Surgical Procedure Induced AB by D&E 17 wk R /13/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /13/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /13/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /13/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /13/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /16/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /16/2015 1st Tri Surgical Procedure Induced abortion, by D & C 12 wk R /16/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /16/2015 1st Tri Surgical Procedure Induced Abortion, by D & C 13 wk R /16/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /16/2015 1st Tri Surgical Procedure Induced abortion, by D & C 10 wk R /16/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /16/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /16/2015 1st Tri Surgical Procedure Induced Abortion, by D & C 13 wk R /16/2015 2nd Tri Surgical Procedure Induced AB by D&E 16 wk R /16/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /16/2015 1st Tri Surgical Procedure Induced abortion, by D & C 10 wk R /16/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /16/2015 2nd Tri Surgical Procedure Induced AB by D&E 15 wk R /16/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /16/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /16/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /16/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /16/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /17/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /17/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /17/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /17/2015 1st Tri Surgica I Procedure Induced abortion, by D & C 6 wk R /17/2015 2nd Tri Surgical Procedure Induced AB by D&E 20 wk R /17/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /17/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /17/2015 1st Tri Surgical Procedure Induced Abortion, by D & C 13 wk R /17/2015 2nd Tri Surgical Procedure Induced AB by D&E 16 wk R /17/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /17/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /17/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /19/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /19/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /19/ Procedure list (A)
11 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /19/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /19/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /19/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /19/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /19/2015 1st Tri Surgical Procedure Induced abortion, by D & C 10 wk R /19/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /19/2015 1st Tri Surgical Procedure Induced abortion, by D & C 10 wk R /19/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /19/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /19/2015 2nd Tri Surgical Procedure Induced AB by D&E 14 wk R /19/2015 2nd Tri Surgical Procedure Induced AB by D&E 21wk R /20/2015 2nd Tri Surgical Procedure Induced AB by D&E 19 wk R /20/2015 2nd Tri Surgical Procedure Induced AB by D&E 18 wk R /20/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /20/2015 2nd Tri Surgical Procedure Induced AB by D&E 17 wk R /20/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /20/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /20/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11wk R /20/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /20/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /20/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /20/2015 2nd Tri Surgical Procedure Induced AB by D&E 15 wk R /20/2015 2nd Tri Surgical Procedure Induced AB by D&E 14 wk R /20/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /20/2015 1st Tri Surgical Procedure Induced abortion, by D & C 10 wk R /20/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /20/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11wk R /20/2015 2nd Tri Surgical Procedure Induced AB by D&E 17 wk R /20/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /20/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /20/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /20/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /20/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /20/2015 1st Tri Surgical Procedure Induced abortion, by D & C 10 wk R /20/2015 1st Tri Surgical Procedure Induced Abortion, by D & C 13 wk R /20/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /20/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /20/2015 1st Tri Surgical Procedure Induced abortion, by D & C 12 wk R /20/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /20/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /23/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /23/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /23/2015 2nd Tri Surgical Procedure Induced AB by D&E 16 wk R /23/ Procedure list (A)
12 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /23/2015 1st Tri Surgical Procedure Induced Abortion, by D & C 13 wk R /23/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /23/2015 1st Tri Surgical Procedure Induced Abortion, by D & C 13 wk R /23/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /23/2015 1st Tri Surgical Procedure Induced abortion, by D & C 5 wk R /23/2015 1st Tri Surgical Procedure Induced abortion, by D & C 10 wk R /23/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /23/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /23/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /23/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /23/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /23/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /23/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /23/2015 2nd Tri Surgical Procedure Induced AB by O&E 15 wk R /23/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /23/2015 1st Tri Surgical Procedure Induced abortion, by D & C 10 wk R /24/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /24/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /24/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /24/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /24/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /24/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /24/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /24/2015 2nd Tri Surgical Procedure Induced AB by D&E 16 wk R /24/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /24/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /24/2015 1st Tri Surgical Procedure Induced abortion, by D & C 12 wk R /24/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /26/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /26/2015 2nd Tri Surgical Procedure Induced AB by D&E 17 wk R /26/2015 1st Tri Surgical Procedure Induced abortion, by D & C 10 wk R /26/2015 2nd Tri Surgical Procedure Induced AB by D&E 15 wk R /26/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /26/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /26/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /26/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /26/2015 2nd Tri Surgical Procedure Induced AB by D&E 16 wk R /26/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /26/2015 2nd Tri Surgical Procedure Induced AB by D&E 17 wk R /26/2015 1st Tri Surgical Procedure Induced abortion, by D & C 10 wk R /26/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /26/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /26/2015 2nd Tri Surgical Procedure Induced AB by D&E 14 wk R /26/ Procedure list (A)
13 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /26/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /26/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /27/2015 2nd Tri Surgical Procedure Induced AB by D&E 20 wk R /27/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /27/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /27/2015 1st Tri Surgical Procedure Induced abortion, by D & C 5 wk R /27/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /27/2015 2nd Tri Surgical Procedure Induced AB by D&E 18 wk R /27/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /27/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /27/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /27/2015 1st Tri Surgical Procedure Induced abortion, by D & C 12 wk R /27/2015 2nd Tri Surgical Procedure Induced AB by D&E 18 wk R /27/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /27/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /27/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /27/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /27/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /27/2015 1st Tri Surgical Procedure Induced abortion, by D & C 4 wk R /27/2015 2nd Tri Surgical Procedure Induced AB by D&E 16 wk R /27/2015 1st Tri Surgical Procedure Induced abortion, by D & C 5 wk R /27/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /27/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /27/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /27/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /27/2015 1st Tri Surgical Procedure Induced abortion, by D & C 12 wk R /30/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /30/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /30/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /30/2015 1st Tri Surgical Procedure Induced abortion, by D & C 8 wk R /30/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /30/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /30/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /30/2015 1st Tri Surgical Procedure Induced abortion, by D & C 6 wk R /30/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11 wk R /30/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /30/2015 1st Tri Surgical Procedure Induced abortion, by D & C 7 wk R /30/2015 1st Tri Surgical Procedure Induced abortion, by D & C 5 wk R /30/2015 1st Tri Surgical Procedure Induced abortion, by D & C 9 wk R /30/2015 2nd Tri Surgical Procedure Induced AB by D&E 14 wk R /30/2015 1st Tri Surgical Procedure Induced abortion, by D & C 11wk R /30/2015 1st Tri Surgical Procedure Induced abortion, by D & C 5 wk R /30/ Procedure list (A)
14 Other Surgical Procedures from Reproductive Health Services from 6/1-6/30/15 Type Procedure Post Surg Evac Procedure Service Item Description Post Surg AB Surg Mgmt Accession # R Date of Service 06/19/2015 Miscarriage Procedure Treatment Of Missed AB 1st Tri 4-11Wk R /09/2015 Post Med Evac Procedure Post Med AB Surg Mgmt R /10/2015 Post Med Evac Procedure Post Med AB Surg Mgmt R /10/2015 Miscarriage Procedure Treatment Of Missed AB 1st Tri 4-11 Wk R /12/2015 Post Med Evac Procedure Post Med AB Surg Mgmt R /16/2015 Miscarriage Procedure Treatment Of Missed AB 1st Tri 4-11 Wk R /16/2015 Miscarriage Procedure Treatment Of Missed AB 1st Tri 4-11 Wk R /16/2015 Miscarriage Procedure Treatment Of Missed AB 1st Tri 4-11Wk R /19/2015 Miscarriage Procedure Treatment Of Missed AB 1st Tri 4-11Wk R /20/2015 Post Med Evac Procedure Post Med AB Surg Mgmt R /20/2015 Post Med Evac Procedure Post Med AB Surg Mgmt R /24/ Procedure list (A)
15 Contract for pathology services (B)
16 Contract for pathology services (B)
17 Surgical pathology requisition (C)
18 Surgical pathology report (D)
19 Invoice for pathology services for June 2015 (E)
20 Invoice for pathology services for June 2015 (E)
21 Invoice for pathology services for June 2015 (E)
22 Invoice for pathology services for June 2015 (E)
23 Invoice for pathology services for June 2015 (E)
24 Invoice for pathology services for June 2015 (E)
25 Invoice for pathology services for June 2015 (E)
26 Invoice for pathology services for June 2015 (E)
27 Invoice for pathology services for June 2015 (E)
28 Invoice for pathology services for June 2015 (E)
29 Invoice for pathology services for June 2015 (E)
30 Invoice for pathology services for June 2015 (E)
31 Invoice for pathology services for June 2015 (E)
32 Invoice for pathology services for July 2015 (F)
33 Invoice for pathology services for July 2015 (F)
34 Invoice for pathology services for July 2015 (F)
35 Invoice for pathology services for July 2015 (F)
36 Invoice for pathology services for July 2015 (F)
37 Invoice for pathology services for July 2015 (F)
38 Invoice for pathology services for July 2015 (F)
39 Invoice for pathology services for July 2015 (F)
40 Invoice for pathology services for July 2015 (F)
41 Invoice for pathology services for July 2015 (F)
42 Payment for pathology services (G)
43 Contract for pathology waste disposal (H)
44 Contract for pathology waste disposal (H)
45 Waste tracking document (pre-disposal) (I)
46 Waste tracking document (stamped with disposal certification) (J)
47 MedAssure 1013 S. Girls School Road Indianapolis, IN (317) Customer Number Invoice Date 06/30/2015 Invoice Number BILL TO: PATHOLOGY SERVICES INCORPORATE 2916 S BRENTWOOD BLVD BRENTWOOD, MO TERMS DUE DATE SALES REP SERVICE DATE Due Upon Receipt 06/30/ PATHOLOGY SERVICES INCORPORATE S BRENTWOOD BLVD DESCRIPTION CONT. COUNT QTY/WGHT UNIT PRICE AMOUNT 06/01/15-06/30/15 INCINERATE WASTE SERVICE CURRENT 30 DAYS 60 DAYS 90 DAYS OVER 90 DAYS 6, Invoice Amount MedAssure 1013 S. Girls School Road Indianapolis, IN (317) Payment Coupon Please detach and enclose this portion with your payment - do not send cash. Invoice Date 06/30/2015 Customer Number Your Invoice Number Due Date Upon Receipt Total Due $7, Amount Paid PATHOLOGY SERVICES INCORPORATE 2916 S BRENTWOOD BLVD BRENTWOOD, MO MedAssure 149 Yellowbrook Road Suite 100 Farmingdale, NJ Invoice for waste disposal services (K)
South East of Process Main Building / 1F. North East of Process Main Building / 1F. At 14:05 April 16, 2011. Sample not collected
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