Innosonian, Inc
Innosonian, Europe
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| HCA Order Form |
| Division | Central West Texas Division | ||
| Site/Hospital | St. David’s North Austin Med | ||
| Billing | Delivery | ||
| Name | Michael.Baltz@hcahealthcare.com | Name | Lisa Everett |
| George.Greene1@healthtrustpg.com | lisa.everett@HCAhealthcare.com | ||
| Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | 1201B W. Louis Henna Blvd. |
| Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | Suite 200 |
| Address Line 3 | Suite 1100 | Address Line 3 | |
| City | Nashville | City | Austin |
| State | TN | State | TX |
| ZIP | 37203 | ZIP | 78681 |
| Items to Order | |||
| Code | Description | Quantity | Total ($) |
| A99003 | Brayden Power Adaptor for Adult & Baby, 110v, 8ft cord, U.S. Plug | 2 | $29.30 |
| S17011 | Brayden Baby/Infant Artificial Lung Air Guide | 3 | $4.74 |
| C17003 | Brayden Baby/Infant Body Skin | 3 | $173.25 |
| $0.00 | |||
| Sub-Total | $207.29 | ||