Innosonian, Inc
Innosonian, Europe
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| HCA Order Form |
| Division | Gulf Coast Division | ||
| Site/Hospital | HCA Houston Healthcare Medical Center | ||
| Billing | Delivery | ||
| Name | sarah.prial@hcahealthcare.com | Name | Minaz Dungor |
| George.Greene1@healthtrustpg.com | minaz.dungor@hcahealthcare.com | ||
| Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | 1313 Hermann Dr |
| Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | |
| Address Line 3 | Suite 1100 | Address Line 3 | |
| City | Nashville | City | Houston |
| State | TN | State | TX |
| ZIP | 37203 | ZIP | 77004 |
| Items to Order | |||
| Code | Description | Quantity | Total ($) |
| C17001 | Brayden Baby/Infant Replacement Lung (single) | 2 | |
| Sub-Total | |||