Spreadsheet: 152185d1335279939-applying-table-headers-to-subsequent-pages-in-a-directory-mail-merge-sample-data
Sheet: Sheet1

inv desc 1 | inv desc 2 | INVOICE | Company | [NAME] | [NAME] | CITY | state | ZIP | chg amt | Dt of Svc | sv it | sv it desc | payments applied | total charges | total pmts | invoice balance | invoice bal
Test patient 1 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 9 | 20120301 | O85025 | Lab  CBC, [NAME] Differential |  |  |  |  | 5714
Test patient 1 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 8 | 20120301 | O82947 | [NAME] |  |  |  |  | 5714
Test patient 1 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 15 | 20120301 | [NAME] | Lab LIPID PANEL |  |  |  |  | 5714
Test patient 1 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120301 | O81000 | Lab Urinalysis Dipstick Only |  |  |  |  | 5714
Test patient 2 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120301 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
Test patient 2 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 9 | 20120301 | O85025 | Lab  CBC, [NAME] Differential |  |  |  |  | 5714
Test patient 2 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 8 | 20120301 | O82947 | [NAME] |  |  |  |  | 5714
Test patient 2 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 15 | 20120301 | [NAME] | Lab LIPID PANEL |  |  |  |  | 5714
Test patient 2 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120301 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
Test patient 3 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 9 | 20120302 | O85025 | Lab  CBC, [NAME] Differential |  |  |  |  | 5714
Test patient 3 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 8 | 20120302 | O82947 | [NAME] |  |  |  |  | 5714
Test patient 3 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120302 | O86706 | Lab HEP B SURFACE ANTIBODY |  |  |  |  | 5714
Test patient 3 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 15 | 20120302 | [NAME] | Lab LIPID PANEL |  |  |  |  | 5714
Test patient 3 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120302 | O81000 | Lab Urinalysis Dipstick Only |  |  |  |  | 5714
Test patient 3 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120302 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
Test patient 4 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120305 | O86706 | Lab HEP B SURFACE ANTIBODY |  |  |  |  | 5714
Test patient 4 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 44 | 20120305 | O840229 | Lab Mumps IGG |  |  |  |  | 5714
Test patient 4 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 23 | 20120305 | O840227 | Lab Rubella Titer |  |  |  |  | 5714
Test patient 4 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 28 | 20120305 | O840230 | Lab Rubeloa Titer |  |  |  |  | 5714
Test patient 4 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120305 | O840228 | Lab Varicella IGG |  |  |  |  | 5714
Test patient 4 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120305 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
Test patient 4 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 19 | 20120305 | O840069 | Tb Screening |  |  |  |  | 5714
Test patient 5 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120305 | O86706 | Lab HEP B SURFACE ANTIBODY |  |  |  |  | 5714
Test patient 5 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 44 | 20120305 | O840229 | Lab Mumps IGG |  |  |  |  | 5714
Test patient 5 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 23 | 20120305 | O840227 | Lab Rubella Titer |  |  |  |  | 5714
Test patient 5 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 28 | 20120305 | O840230 | Lab Rubeloa Titer |  |  |  |  | 5714
Test patient 5 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120305 | O840228 | Lab Varicella IGG |  |  |  |  | 5714
Test patient 5 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120305 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
Test patient 5 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 19 | 20120305 | O840069 | Tb Screening |  |  |  |  | 5714
Test patient 6 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120305 | O86706 | Lab HEP B SURFACE ANTIBODY |  |  |  |  | 5714
Test patient 6 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 44 | 20120305 | O840229 | Lab Mumps IGG |  |  |  |  | 5714
Test patient 6 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 23 | 20120305 | O840227 | Lab Rubella Titer |  |  |  |  | 5714
Test patient 6 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 28 | 20120305 | O840230 | Lab Rubeloa Titer |  |  |  |  | 5714
Test patient 6 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120305 | O840228 | Lab Varicella IGG |  |  |  |  | 5714
Test patient 6 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120305 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
Test patient 7 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120305 | O86706 | Lab HEP B SURFACE ANTIBODY |  |  |  |  | 5714
Test patient 7 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 44 | 20120305 | O840229 | Lab Mumps IGG |  |  |  |  | 5714
Test patient 7 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 28 | 20120305 | O840230 | Lab Rubeloa Titer |  |  |  |  | 5714
Test patient 7 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120305 | O840228 | Lab Varicella IGG |  |  |  |  | 5714
Test patient 7 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120305 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
Test patient 8 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 9 | 20120305 | O85025 | Lab  CBC, [NAME] Differential |  |  |  |  | 5714
Test patient 8 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 8 | 20120305 | O82947 | [NAME] |  |  |  |  | 5714
Test patient 8 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 15 | 20120305 | [NAME] | Lab LIPID PANEL |  |  |  |  | 5714
Test patient 8 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120305 | O81000 | Lab Urinalysis Dipstick Only |  |  |  |  | 5714
Test patient 8 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120305 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
Test patient 9 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120305 | O86706 | Lab HEP B SURFACE ANTIBODY |  |  |  |  | 5714
Test patient 9 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 44 | 20120305 | O840229 | Lab Mumps IGG |  |  |  |  | 5714
Test patient 9 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 23 | 20120305 | O840227 | Lab Rubella Titer |  |  |  |  | 5714
Test patient 9 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 28 | 20120305 | O840230 | Lab Rubeloa Titer |  |  |  |  | 5714
Test patient 9 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120305 | O840228 | Lab Varicella IGG |  |  |  |  | 5714
Test patient 9 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120305 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
Test patient 10 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120305 | O86706 | Lab HEP B SURFACE ANTIBODY |  |  |  |  | 5714
Test patient 10 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 44 | 20120305 | O840229 | Lab Mumps IGG |  |  |  |  | 5714
Test patient 10 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 23 | 20120305 | O840227 | Lab Rubella Titer |  |  |  |  | 5714
Test patient 10 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 28 | 20120305 | O840230 | Lab Rubeloa Titer |  |  |  |  | 5714
Test patient 10 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120305 | O840228 | Lab Varicella IGG |  |  |  |  | 5714
Test patient 10 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120305 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
Test patient 10 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 19 | 20120305 | O840069 | Tb Screening |  |  |  |  | 5714
Test patient 11 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120305 | O86706 | Lab HEP B SURFACE ANTIBODY |  |  |  |  | 5714
Test patient 11 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 44 | 20120305 | O840229 | Lab Mumps IGG |  |  |  |  | 5714
Test patient 11 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 23 | 20120305 | O840227 | Lab Rubella Titer |  |  |  |  | 5714
Test patient 11 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 28 | 20120305 | O840230 | Lab Rubeloa Titer |  |  |  |  | 5714
Test patient 11 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120305 | O840228 | Lab Varicella IGG |  |  |  |  | 5714
Test patient 11 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120305 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
Test patient 11 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 19 | 20120305 | O840069 | Tb Screening |  |  |  |  | 5714
Test patient 12 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120305 | O86706 | Lab HEP B SURFACE ANTIBODY |  |  |  |  | 5714
Test patient 12 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 44 | 20120305 | O840229 | Lab Mumps IGG |  |  |  |  | 5714
Test patient 12 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 23 | 20120305 | O840227 | Lab Rubella Titer |  |  |  |  | 5714
Test patient 12 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 28 | 20120305 | O840230 | Lab Rubeloa Titer |  |  |  |  | 5714
Test patient 12 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120305 | O840228 | Lab Varicella IGG |  |  |  |  | 5714
Test patient 12 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120305 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
Test patient 12 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 19 | 20120305 | O840069 | Tb Screening |  |  |  |  | 5714
Test patient 13 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120305 | O86706 | Lab HEP B SURFACE ANTIBODY |  |  |  |  | 5714
Test patient 13 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 44 | 20120305 | O840229 | Lab Mumps IGG |  |  |  |  | 5714
Test patient 13 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 23 | 20120305 | O840227 | Lab Rubella Titer |  |  |  |  | 5714
Test patient 13 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 28 | 20120305 | O840230 | Lab Rubeloa Titer |  |  |  |  | 5714
Test patient 13 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120305 | O840228 | Lab Varicella IGG |  |  |  |  | 5714
Test patient 13 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120305 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
Test patient 13 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 19 | 20120305 | O840069 | Tb Screening |  |  |  |  | 5714
Test patient 14 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120305 | O86706 | Lab HEP B SURFACE ANTIBODY |  |  |  |  | 5714
Test patient 14 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 44 | 20120305 | O840229 | Lab Mumps IGG |  |  |  |  | 5714
Test patient 14 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 23 | 20120305 | O840227 | Lab Rubella Titer |  |  |  |  | 5714
Test patient 14 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 28 | 20120305 | O840230 | Lab Rubeloa Titer |  |  |  |  | 5714
Test patient 14 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120305 | O840228 | Lab Varicella IGG |  |  |  |  | 5714
Test patient 14 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120305 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
Test patient 14 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 19 | 20120305 | O840069 | Tb Screening |  |  |  |  | 5714
Test patient 15 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 9 | 20120306 | O85025 | Lab  CBC, [NAME] Differential |  |  |  |  | 5714
Test patient 15 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 8 | 20120306 | O82947 | [NAME] |  |  |  |  | 5714
Test patient 15 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 15 | 20120306 | [NAME] | Lab LIPID PANEL |  |  |  |  | 5714
Test patient 15 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120306 | O81000 | Lab Urinalysis Dipstick Only |  |  |  |  | 5714
Test patient 15 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 126 | 20120306 | O84038 | [NAME] |  |  |  |  | 5714
Test patient 15 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 100 | 20120306 | O840065 | Physical Employment |  |  |  |  | 5714
Test patient 15 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120306 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
Test patient 16 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 12 | 20120306 | O840128 | TB Questionnaire |  |  |  |  | 5714
Test patient 16 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 19 | 20120306 | O840069 | Tb Screening |  |  |  |  | 5714
Test patient 17 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 65 | 20120306 | O840250 | Immunization TDAP |  |  |  |  | 5714
Test patient 18 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 9 | 20120306 | O85025 | Lab  CBC, [NAME] Differential |  |  |  |  | 5714
Test patient 18 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 8 | 20120307 | O82947 | [NAME] |  |  |  |  | 5714
Test patient 18 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 15 | 20120307 | [NAME] | Lab LIPID PANEL |  |  |  |  | 5714
Test patient 18 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120307 | O81000 | Lab Urinalysis Dipstick Only |  |  |  |  | 5714
Test patient 18 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120307 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
Test patient 19 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120308 | O86706 | Lab HEP B SURFACE ANTIBODY |  |  |  |  | 5714
Test patient 19 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 44 | 20120308 | O840229 | Lab Mumps IGG |  |  |  |  | 5714
Test patient 19 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 23 | 20120308 | O840227 | Lab Rubella Titer |  |  |  |  | 5714
Test patient 19 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 28 | 20120308 | O840230 | Lab Rubeloa Titer |  |  |  |  | 5714
Test patient 19 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120308 | O840228 | Lab Varicella IGG |  |  |  |  | 5714
Test patient 19 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120308 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
Test patient 20 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 126 | 20120308 | O84038 | [NAME] |  |  |  |  | 5714
Test patient 20 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 100 | 20120308 | O840065 | Physical Employment |  |  |  |  | 5714
Test patient 21 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 9 | 20120308 | O85025 | Lab  CBC, [NAME] Differential |  |  |  |  | 5714
Test patient 21 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 8 | 20120308 | O82947 | [NAME] |  |  |  |  | 5714
Test patient 21 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 15 | 20120308 | [NAME] | Lab LIPID PANEL |  |  |  |  | 5714
Test patient 21 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120308 | O81000 | Lab Urinalysis Dipstick Only |  |  |  |  | 5714
Test patient 21 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120308 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
Test patient 22 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 9 | 20120309 | O85025 | Lab  CBC, [NAME] Differential |  |  |  |  | 5714
Test patient 22 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 8 | 20120309 | O82947 | [NAME] |  |  |  |  | 5714
Test patient 22 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 15 | 20120309 | [NAME] | Lab LIPID PANEL |  |  |  |  | 5714
Test patient 22 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 23 | 20120309 | O84153 | Lab PSA |  |  |  |  | 5714
Test patient 22 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120309 | O81000 | Lab Urinalysis Dipstick Only |  |  |  |  | 5714
Test patient 22 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120309 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
Test patient 23 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120316 | O86706 | Lab HEP B SURFACE ANTIBODY |  |  |  |  | 5714
Test patient 23 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 44 | 20120316 | O840229 | Lab Mumps IGG |  |  |  |  | 5714
Test patient 23 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 23 | 20120316 | O840227 | Lab Rubella Titer |  |  |  |  | 5714
Test patient 23 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 28 | 20120316 | O840230 | Lab Rubeloa Titer |  |  |  |  | 5714
Test patient 23 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120316 | O840228 | Lab Varicella IGG |  |  |  |  | 5714
Test patient 23 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120316 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
test patient 24 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 9 | 20120316 | O85025 | Lab  CBC, [NAME] Differential |  |  |  |  | 5714
test patient 24 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 8 | 20120316 | O82947 | [NAME] |  |  |  |  | 5714
test patient 24 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 15 | 20120316 | [NAME] | Lab LIPID PANEL |  |  |  |  | 5714
test patient 24 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120316 | O81000 | Lab Urinalysis Dipstick Only |  |  |  |  | 5714
test patient 24 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120316 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
test patient 25 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 9 | 20120316 | O85025 | Lab  CBC, [NAME] Differential |  |  |  |  | 5714
test patient 25 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 8 | 20120316 | O82947 | [NAME] |  |  |  |  | 5714
test patient 25 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 15 | 20120316 | [NAME] | Lab LIPID PANEL |  |  |  |  | 5714
test patient 25 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120316 | O81000 | Lab Urinalysis Dipstick Only |  |  |  |  | 5714
test patient 25 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120316 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
test patient 26 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 9 | 20120316 | O85025 | Lab  CBC, [NAME] Differential |  |  |  |  | 5714
test patient 26 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 8 | 20120316 | O82947 | [NAME] |  |  |  |  | 5714
test patient 26 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 15 | 20120316 | [NAME] | Lab LIPID PANEL |  |  |  |  | 5714
test patient 26 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120316 | O81000 | Lab Urinalysis Dipstick Only |  |  |  |  | 5714
test patient 26 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120316 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
test patient 27 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 9 | 20120319 | O85025 | Lab  CBC, [NAME] Differential |  |  |  |  | 5714
test patient 27 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 8 | 20120319 | O82947 | [NAME] |  |  |  |  | 5714
test patient 27 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 15 | 20120319 | [NAME] | Lab LIPID PANEL |  |  |  |  | 5714
test patient 27 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120319 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
test patient 28 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120319 | O86706 | Lab HEP B SURFACE ANTIBODY |  |  |  |  | 5714
test patient 28 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 44 | 20120319 | O840229 | Lab Mumps IGG |  |  |  |  | 5714
test patient 28 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 23 | 20120319 | O840227 | Lab Rubella Titer |  |  |  |  | 5714
test patient 28 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 28 | 20120319 | O840230 | Lab Rubeloa Titer |  |  |  |  | 5714
test patient 28 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120319 | O840228 | Lab Varicella IGG |  |  |  |  | 5714
test patient 28 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120319 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
test patient 29 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120319 | O86706 | Lab HEP B SURFACE ANTIBODY |  |  |  |  | 5714
test patient 29 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 44 | 20120319 | O840229 | Lab Mumps IGG |  |  |  |  | 5714
test patient 29 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 23 | 20120319 | O840227 | Lab Rubella Titer |  |  |  |  | 5714
test patient 29 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 28 | 20120319 | O840230 | Lab Rubeloa Titer |  |  |  |  | 5714
test patient 29 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120319 | O840228 | Lab Varicella IGG |  |  |  |  | 5714
test patient 29 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 100 | 20120319 | O840065 | Physical Employment |  |  |  |  | 5714
test patient 29 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 70 | 20120319 | O840225 | Pre Employment Work Screen |  |  |  |  | 5714
test patient 29 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 55 | 20120319 | O94010 | Pulmonary Function Test |  |  |  |  | 5714
test patient 29 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 12 | 20120319 | O840072 | Questionaire OSHA Respirator |  |  |  |  | 5714
test patient 29 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120319 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
test patient 29 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120319 | O86706 | Lab HEP B SURFACE ANTIBODY |  |  |  |  | 5714
test patient 29 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 44 | 20120319 | O840229 | Lab Mumps IGG |  |  |  |  | 5714
test patient 29 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 23 | 20120319 | O840227 | Lab Rubella Titer |  |  |  |  | 5714
test patient 29 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 28 | 20120319 | O840230 | Lab Rubeloa Titer |  |  |  |  | 5714
test patient 29 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 38 | 20120319 | O840228 | Lab Varicella IGG |  |  |  |  | 5714
test patient 29 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120319 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
test patient 30 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 126 | 20120320 | O84038 | [NAME] |  |  |  |  | 5714
test patient 30 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 100 | 20120320 | O840065 | Physical Employment |  |  |  |  | 5714
test patient 31 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 9 | 20120320 | O85025 | Lab  CBC, [NAME] Differential |  |  |  |  | 5714
test patient 31 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 8 | 20120320 | O82947 | [NAME] |  |  |  |  | 5714
test patient 31 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 15 | 20120320 | [NAME] | Lab LIPID PANEL |  |  |  |  | 5714
test patient 31 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120320 | O81000 | Lab Urinalysis Dipstick Only |  |  |  |  | 5714
test patient 31 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120320 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
test patient 32 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 9 | 20120321 | O85025 | Lab  CBC, [NAME] Differential |  |  |  |  | 5714
test patient 32 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 8 | 20120321 | O82947 | [NAME] |  |  |  |  | 5714
test patient 32 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 15 | 20120321 | [NAME] | Lab LIPID PANEL |  |  |  |  | 5714
test patient 32 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 23 | 20120321 | O84153 | Lab PSA |  |  |  |  | 5714
test patient 32 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120321 | O81000 | Lab Urinalysis Dipstick Only |  |  |  |  | 5714
test patient 32 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120321 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
test patient 33 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 126 | 20120321 | O84038 | [NAME] |  |  |  |  | 5714
test patient 33 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 100 | 20120321 | O840065 | Physical Employment |  |  |  |  | 5714
test patient 34 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 9 | 20120321 | O85025 | Lab  CBC, [NAME] Differential |  |  |  |  | 5714
test patient 34 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 8 | 20120321 | O82947 | [NAME] |  |  |  |  | 5714
test patient 34 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 15 | 20120321 | [NAME] | Lab LIPID PANEL |  |  |  |  | 5714
test patient 34 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 23 | 20120321 | O84153 | Lab PSA |  |  |  |  | 5714
test patient 34 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120321 | O81000 | Lab Urinalysis Dipstick Only |  |  |  |  | 5714
test patient 34 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120321 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
test patient 35 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 9 | 20120323 | O85025 | Lab  CBC, [NAME] Differential |  |  |  |  | 5714
test patient 35 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 8 | 20120323 | O82947 | [NAME] |  |  |  |  | 5714
test patient 35 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 15 | 20120323 | [NAME] | Lab LIPID PANEL |  |  |  |  | 5714
test patient 35 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120323 | O81000 | Lab Urinalysis Dipstick Only |  |  |  |  | 5714
test patient 35 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120323 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
test patient 36 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 9 | 20120324 | O85025 | Lab  CBC, [NAME] Differential |  |  |  |  | 5714
test patient 36 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 8 | 20120324 | O82947 | [NAME] |  |  |  |  | 5714
test patient 36 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 15 | 20120324 | [NAME] | Lab LIPID PANEL |  |  |  |  | 5714
test patient 36 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120324 | O81000 | Lab Urinalysis Dipstick Only |  |  |  |  | 5714
test patient 36 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120324 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
test patient 37 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 50 | 20120326 | O840047 | Immunization Hepatitis B Each |  |  |  |  | 5714
test patient 38 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 52 | 20120326 | O840192 | OH Staff Consult Fee Per 30min |  |  |  |  | 5714
test patient 39 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 90 | 20120326 | O840052 | Immunization Varicella |  |  |  |  | 5714
test patient 40 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 9 | 20120327 | O85025 | Lab  CBC, [NAME] Differential |  |  |  |  | 5714
test patient 40 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 8 | 20120327 | O82947 | [NAME] |  |  |  |  | 5714
test patient 40 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 15 | 20120327 | [NAME] | Lab LIPID PANEL |  |  |  |  | 5714
test patient 40 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 23 | 20120327 | O84153 | Lab PSA |  |  |  |  | 5714
test patient 40 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120327 | O81000 | Lab Urinalysis Dipstick Only |  |  |  |  | 5714
test patient 40 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120327 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
test patient 41 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 126 | 20120327 | O84038 | [NAME] |  |  |  |  | 5714
test patient 41 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 100 | 20120327 | O840065 | Physical Employment |  |  |  |  | 5714
test patient 42 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 9 | 20120329 | O85025 | Lab  CBC, [NAME] Differential |  |  |  |  | 5714
test patient 42 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 8 | 20120329 | O82947 | [NAME] |  |  |  |  | 5714
test patient 42 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 15 | 20120329 | [NAME] | Lab LIPID PANEL |  |  |  |  | 5714
test patient 42 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120329 | O81000 | Lab Urinalysis Dipstick Only |  |  |  |  | 5714
test patient 42 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120329 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
test patient 43 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 9 | 20120329 | O85025 | Lab  CBC, [NAME] Differential |  |  |  |  | 5714
test patient 43 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 8 | 20120329 | O82947 | [NAME] |  |  |  |  | 5714
test patient 43 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 15 | 20120329 | [NAME] | Lab LIPID PANEL |  |  |  |  | 5714
test patient 43 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120329 | O81000 | Lab Urinalysis Dipstick Only |  |  |  |  | 5714
test patient 43 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120329 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
test patient 44 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 9 | 20120329 | O85025 | Lab  CBC, [NAME] Differential |  |  |  |  | 5714
test patient 44 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 8 | 20120329 | O82947 | [NAME] |  |  |  |  | 5714
test patient 44 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 15 | 20120329 | [NAME] | Lab LIPID PANEL |  |  |  |  | 5714
test patient 44 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120329 | O36415 | ROUTINE VENIPUNCTURE |  |  |  |  | 5714
test patient 45 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 9 | 20120330 | O85025 | Lab  CBC, [NAME] Differential |  |  |  |  | 5714
test patient 45 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 8 | 20120330 | O82947 | [NAME] |  |  |  |  | 5714
test patient 45 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 15 | 20120330 | [NAME] | Lab LIPID PANEL |  |  |  |  | 5714
test patient 45 |  | 2020 | candy factory | Attn Accounts | 5555 Happy LaneSt | City | ST | 55555 | 10 | 20120330 | O36415 | ROUTINE VENIPUNCTURE |  | 5714 | 0 | 5714 | 5714