Innosonian, Inc
Innosonian, Europe
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| HCA Order Form |
| Division | Capital Division | ||
| Site/Hospital | HCA Healthcare Center for Clinical Advancement | ||
| Billing | Delivery | ||
| Name | Mathew.Huddleston@hcahealthcare.com | Name | Matt Huddleston |
| George.Greene1@healthtrustpg.com | mathew.huddleston@hcahealthcare.com | ||
| Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | 7300 Beaufont Springs Rd, Suite 300 |
| Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | |
| Address Line 3 | Suite 1100 | Address Line 3 | |
| City | Nashville | City | Richmond |
| State | TN | State | VA |
| ZIP | 37203 | ZIP | 23225 |
| Items to Order | |||
| Code | Description | Quantity | Total ($) |
| C99007 | Brayden Adult Lung Kit Version A04 (Pack of 24) | 1 | $47.25 |
| C17003 | Brayden Baby/Infant Body Skin | 1 | $57.75 |
| S17013 | Brayden Baby/Infant Replacement Airway Tube (single) | 5 | $14.45 |
| A99002 | Brayden Adult Compression Spring Addon | 2 | $45.40 |
| C17006 | Brayden Baby/Infant Double Filter (Pack of 5) | 1 | $28.35 |
| S16402 | Brayden Pro Adult Body Skin Magnet | 3 | $11.82 |
| Sub-Total | $205.02 | ||