Innosonian, Inc
Innosonian, Europe
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| HCA Order Form |
| Division | Far West Division | ||
| Site/Hospital | Riverside Community Hospital | ||
| Billing | Delivery | ||
| Name | Elizabeth.Cabada@hcahealthcare.com | Name | Melinda Murray |
| George.Greene1@healthtrustpg.com | melinda.murray1@hcahealthcare.com | ||
| Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | 4445 Magnolia Ave |
| Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | |
| Address Line 3 | Suite 1100 | Address Line 3 | |
| City | Nashville | City | Riverside |
| State | TN | State | CA |
| ZIP | 37203 | ZIP | 92501 |
| Items to Order | |||
| Code | Description | Quantity | Total ($) |
| A99002 | Brayden Adult Compression Spring Addon | 1 | $23.84 |
| C17001 | Brayden Baby/Infant Replacement Lung (single) | 3 | $29.76 |
| C99002 | Brayden Adult Airway Silicone Flap Valve (Pack of 24) | 1 | $7.75 |
| C99003 | Brayden Adult Airway Filter (Pack of 24) | 1 | $4.46 |
| S16402 | Brayden Pro Adult Body Skin Magnet | 4 | $16.56 |
| Sub-Total | $82.37 | ||