Innosonian, Inc
Innosonian, Europe
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| HCA Order Form |
| Division | South Atlantic Division | ||
| Site/Hospital | Summerville HHCCA | ||
| Billing | Delivery | ||
| Name | karie.thurston@hcahealthcare.com | Name | Karie Thurston |
| George.Greene1@healthtrustpg.com | Karie.Thurston@HCAhealthcare.com | ||
| Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | HCA Center for Clin Advancement |
| Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | 201 Sigma Drive, Suite 200 |
| Address Line 3 | Suite 1100 | Address Line 3 | |
| City | Nashville | City | Summerville |
| State | TN | State | SC |
| ZIP | 37203 | ZIP | 29486 |
| Items to Order | |||
| Code | Description | Quantity | Total ($) |
| C99007 | Brayden Adult Lung Kit Version A04 (Pack of 24) | 1 | $49.61 |
| A99003 | Brayden Power Adaptor for Adult & Baby, 110v, 8ft cord, U.S. Plug | 2 | $30.76 |
| C17001 | Brayden Baby/Infant Replacement Lung (single) | 1 | $9.92 |
| $0.00 | |||
| Sub-Total | $90.29 | ||