Innosonian, Inc
Innosonian, Europe
Go Back
| HCA Order Form |
| Division | South Atlantic Division | ||
| Site/Hospital | Fairview Park Hospital | ||
| Billing | Delivery | ||
| Name | Susan.Burke@hcahealthcare.com | Name | Rob Ward |
| George.Greene1@healthtrustpg.com | robbie.ward@hcahealthcare.com | ||
| Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | 200 Industrial Blvd |
| Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | |
| Address Line 3 | Suite 1100 | Address Line 3 | |
| City | Nashville | City | Dublin |
| State | TN | State | GA |
| ZIP | 37203 | ZIP | 31021 |
| Items to Order | |||
| Code | Description | Quantity | Total ($) |
| A99003 | Brayden Power Adaptor for Adult & Baby, 110v, 8ft cord, U.S. Plug | 2 | $29.30 |
| C17001 | Brayden Baby/Infant Replacement Lung (single) | 3 | $28.35 |
| C99007 | Brayden Adult Lung Kit Version A04 (Pack of 24) | 1 | $47.25 |
| S13106 | Brayden Adult Face/Mouth Connector | 4 | $10.08 |
| Sub-Total | $114.98 | ||